Moshiri, Mazyar
Moshiri, Mazyar is an individual health care provider with primary practice located at 777 S. New Ballas Road Suite 116E, Saint Louis MO 63141. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Moshiri, Mazyar can be contacted via phone (314) 997-3999.Contact Information
Primary practice address
777 S. New Ballas Road Suite 116E
Saint Louis MO 63141
Phone: (314) 997-3999
Fax: (314) 997-7554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 2008019628 | Missouri |
Profile Details
| NPI number | 1093810202 |
|---|---|
| LBN Legal business name | Moshiri, Mazyar |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Dec 10th, 2010 - about 14 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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