| NPI | 1548374515 |
|---|---|
| Other Name | PATTY MAHMOUDZADEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN14508) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL LN05387) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |