SEYED HESHMAT MORTAZAVI

GALLUP, NM
NPI1902833973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD2342)
Additional Taxonomies122300000X Dentist
(Licence: WA  DE00007118)
Enumeration Date2006-06-27
Last Update Date2008-04-11
Business Address
-- SEYED HESHMAT MORTAZAVI DMD
516 E. NIZHONI BLVD
GALLUP, NM 87301-1337
Phone number: 505-722-1000
Mailing Address
-- SEYED HESHMAT MORTAZAVI DMD
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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