| NPI | 1710064951 |
|---|---|
| Former Name | MOHAMMADREZA ZARRINNEGAR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050350) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 050350) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-01-10 |