IDEAN K MOHAMMADI

SEDALIA, MO
NPI1962128603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2022019328)
Additional Taxonomies122300000X Dentist
(Licence: KS  61881)
Enumeration Date2022-10-14
Last Update Date2024-06-11
Business Address
Dr. IDEAN K MOHAMMADI DDS
700 S LIMIT AVE # 100
SEDALIA, MO 65301-3918
Phone number: 660-200-1675
Mailing Address
Dr. IDEAN K MOHAMMADI DDS
700 S LIMIT AVE # 100
SEDALIA, MO 65301-3918
Phone number: 816-287-1990