Individual provider · NPI-1

Dr. Lida Alimorad, D.D.S

Dentist, Pediatric Dentistry · Wilmington, DE

NPI number1013201987
StatusActive
Last updated in NPPESSep 19, 2019

Details

NPI
1013201987
Entity type
Individual (NPI-1)
Name
Dr. Lida Alimorad
Credential
D.D.S
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2011
Last updated
Sep 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric DentistryG3-0000488DEYes
122300000X DentistG3-0000488DE
122300000X Dentist0401413118VA
1223G0001X Dentist, General Practice14851MD

Practice location

1600 Rockland Rd
Wilmington, DE 19803

Phone 302-651-4200 · Fax 302-651-4945

Mailing address

Po Box 191
Rockland, DE 19732-0191

Phone 302-651-4200 · Fax 302-651-4945

Other practice locations

200 Girard St Ste 206
Gaithersburg, MD 20877-3490

Phone 301-216-0880

200 Girard St Ste 206
Gaithersburg, MD 20877-3490

Phone 301-216-0880

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