Seyed-mahmoudreza Modareszadeh-esfahani DDS, MSD

NPI 1104074491 - Dentist - 1223E0200X

NPI Details
NPI 1104074491
Gender Male
Enumeration Date 08/29/2008
Last Updated 08/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
10900 EUCLID AVE.,
CASE WESTERN RESERVE UNIVERSITY, DENTAL SCHOOL
CLEVELAND OH, 44106, US
Phone (216) 368-6798
Fax
Business Location
27060 CEDAR ROAD, APT. PH1
BEACHWOOD OH, 44122, US
Phone (216) 591-1293
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State Ohio
License Number 2583
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According to our database, Dr. Seyed-mahmoudreza Modareszadeh-esfahani DDS, MSD NPI is 1104074491, taxonomy code is 1223E0200X and license number is 2583, license state is located at Ohio. Seyed-mahmoudreza Modareszadeh-esfahani DDS, MSD physically located at 10900 Euclid Ave.,, Cleveland OH, 44106. NPI Number Seyed-mahmoudreza Modareszadeh-esfahani DDS, MSD has the Individual type.

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1104074491 NPI number is provided on an as is basis without warranty of any kind. 1104074491 is maintained by the National Plan & Provider Enumeration System. The contents of Seyed-mahmoudreza Modareszadeh-esfahani DDS, MSD are for informational purposes only.