Mostofi, Reza

Mostofi, Reza is an individual health care provider with primary practice located at 3407 W Bryn Mawr Ave , Chicago IL 60659-3450. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Mostofi, Reza can be contacted via phone (773) 267-1110.

Contact Information

Primary practice address
3407 W Bryn Mawr Ave Chicago IL 60659-3450
Phone: (773) 267-1110
Fax: (773) 267-1081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 19-16542 Illinois

Profile Details

NPI number 1205808854
LBN Legal business name Mostofi, Reza
Credentials DENTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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