Tahmasebi-Moshiri, Fariba

Tahmasebi-Moshiri, Fariba is an individual health care provider with primary practice located at 777 S New Ballas Rd Ste 305W , Saint Louis MO 63141-8719. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Tahmasebi-Moshiri, Fariba can be contacted via phone (314) 997-5151.

Contact Information

Primary practice address
777 S New Ballas Rd Ste 305W Saint Louis MO 63141-8719
Phone: (314) 997-5151
Fax: (314) 997-7554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 014294 Missouri

Profile Details

NPI number 1154481265
LBN Legal business name Tahmasebi-Moshiri, Fariba
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154481265 NPPES
Missouri Other 9177502 DORAL DENTAL
Missouri Other 605104 DORAL DENTAL
Missouri Other AETNA PPO DORAL DENTAL
Missouri Other 103292 DORAL DENTAL

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