Dr. Farid Moghaddam, D.M.D.
Dentist in Cumming, GA. Individual provider (NPI-1).
NPI number1184635484
StatusActive
Last updated in NPPESAug 23, 2011
Details
- NPI
- 1184635484
- Entity type
- Individual (NPI-1)
- Name
- Dr. Farid Moghaddam
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2006
- Last updated
- Aug 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN013337 | GA | Yes |
Practice location
1715 Friendship Cir Ste 100Cumming, GA 30028-6918
Phone 678-860-9911
Mailing address
1715 Friendship Cir Ste 100Cumming, GA 30028-6918
Phone 678-860-9911
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