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
Fax: (864) 839-0064
Website:

Health care specialties

SpecialtyCodeLicense #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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