| NPI | 1841553914 |
|---|---|
| Former Name | HALEH FAZELI-TEHRANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 103470) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS039609) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2022-03-17 |