Fard, Rambod S

Fard, Rambod S is an individual health care provider with primary practice located at 2713 Marshall Ct , Madison WI 53705-2255. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fard, Rambod S can be contacted via phone (608) 442-4400.

Contact Information

Primary practice address
2713 Marshall Ct Madison WI 53705-2255
Phone: (608) 442-4400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5840-015 Wisconsin

Profile Details

NPI number 1164473484
LBN Legal business name Fard, Rambod S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164473484 NPPES
Wisconsin MEDICAID 33794000

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