Individual provider · NPI-1

Navid Entezari

Dentist, General Practice · Lebanon, NH

NPI number1396388781
StatusActive
Last updated in NPPESOct 18, 2019

Details

NPI
1396388781
Entity type
Individual (NPI-1)
Name
Navid Entezari
Sex
Male
Sole proprietor
No
Enumeration date
Oct 18, 2019
Last updated
Oct 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice04524NHYes

Practice location

367 Route 120 Unit C
Lebanon, NH 03766-1430

Phone 603-782-0329

Mailing address

30 Wolf Rd Unit 601
Lebanon, NH 03766-1917

Phone 703-407-7080

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