NPI | 1700905403 |
---|---|
Former Name | HAMED A. HAERIAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30020217) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 16705) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2012-10-16 |