Mofrad, Natasha
Mofrad, Natasha is an individual health care provider with primary practice located at 1119 W Cherokee St , Blacksburg SC 29702-9221. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Mofrad, Natasha can be contacted via phone (864) 839-0034.Contact Information
Primary practice address
1119 W Cherokee St
Blacksburg SC 29702-9221
Phone: (864) 839-0034
Fax: (864) 839-0064
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Public Health | 1223D0001X | 11549 | North Carolina |
Dental Providers / General Practice | 1223G0001X | 11549 | North Carolina |
Dental Providers / General Practice | 1223G0001X | 10246 | South Carolina |
Profile Details
NPI number | 1891342119 |
---|---|
LBN Legal business name | Mofrad, Natasha |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2019 |
Last updated | Aug 9th, 2023 - about last year |
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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