Farid Moghadasi, DMD Valid NPI

Individual provider · Dentist · Lakeland, FL

NPI

1811000698

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DN13330 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-16

Last updated

2015-02-19