NASTARAN MOSHAEINEZHAD

MYRTLE BEACH, SC
NPI1407551401
Professional NameROSE MOSHAEINEZHAD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SC  DGD.10596)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-31
Last Update Date2023-07-17
Business Address
NASTARAN MOSHAEINEZHAD DDS
1209 N RETAIL CT
MYRTLE BEACH, SC 29577-9626
Phone number: 843-357-0213
Mailing Address
NASTARAN MOSHAEINEZHAD DDS
845 BLUFFVIEW DR
MYRTLE BEACH, SC 29579-5268
Phone number: 718-808-3942