Soheilimoghadam, Mehrdad

Soheilimoghadam, Mehrdad is an sole proprietor health care provider with primary practice located at 132 Wilder Way , North Wales PA 19454-1532. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Soheilimoghadam, Mehrdad can be contacted via phone (310) 760-6042.

Contact Information

Primary practice address
132 Wilder Way North Wales PA 19454-1532
Phone: (310) 760-6042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401414790 Virginia
Dental Providers / Periodontics 1223P0300X 0401414790 Virginia

Profile Details

NPI number 1124414867
LBN Legal business name Soheilimoghadam, Mehrdad
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2015
Last updated Apr 9th, 2015 - about 10 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.

Request for update

Popular Providers