MARYAM MOGHADAM

EVANSTON, IL
NPI1306874029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019025836)
Additional Taxonomies122300000X Dentist
(Licence: AZ  D010262)
Enumeration Date2006-06-29
Last Update Date2020-02-26
Business Address
Dr. MARYAM MOGHADAM DDS
234 RIDGE AVE #1
EVANSTON, IL 60202-3349
Phone number: 847-864-5491
Mailing Address
Dr. MARYAM MOGHADAM DDS
2556N LARAMIE AVE
CHICAGO, IL 60639-2452
Phone number: 773-889-3333