| NPI | 1174000574 |
|---|---|
| Former Name | PARHAM MIRDAMADI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D011746) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA DDS104753) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2024-01-17 |