Dr. Maryam Edalat, d.d.s.
Dentist in New York, NY. Individual provider (NPI-1).
NPI number1487828349
StatusActive
Last updated in NPPESApr 22, 2008
Details
- NPI
- 1487828349
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maryam Edalat
- Credential
- d.d.s.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2008
- Last updated
- Apr 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 044327 | NY | Yes |
Practice location
30 Central Park S Rm 4cNew York, NY 10019-1628
Phone 212-371-0360
Mailing address
30 Central Park S Rm 4cNew York, NY 10019-1628
Phone 212-371-0360
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