| NPI | 1164860490 |
|---|---|
| Former Name | AZADEH ESLAMI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO V177181001) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2013-06-09 |