Mehrdad Soheilimoghadam
Dentist Periodontist
132 Wilder Way
North Wales
, Pennsylvania 19454-1532
Mehrdad Soheilimoghadam
Dentist Periodontist
132 Wilder Way
North Wales
, Pennsylvania 19454-1532
(310) 760-6042
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About
Features
Specialties
- Dentist
- Periodontist
Languages spoken
- English
Location
First Address
- Mehrdad Soheilimoghadam
- 132 Wilder Way
- North Wales, PA
- Zip : 19454-1532
- Phone : (310) 760-6042
Second Address
- Mehrdad Soheilimoghadam
- 132 Wilder Way
- North Wales, PA
- Zip : 19454-1532
- Phone : (310) 760-6042
Reviews
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Is Mehrdad Soheilimoghadam a sole practitioner?
Is Mehrdad Soheilimoghadam accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 0401414790 | VA |
| Y | 1223P0300X | Periodontist | 0401414790 | VA |
National Provider Identifier
| NPI | 1124414867 |
|---|---|
| Provider Name | Mehrdad Soheilimoghadam |
| First Address | North Wales, PA 19454-1532 |
| Second Address | North Wales, PA 19454-1532 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2015 |
| Last Update Date | 09/04/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.