Individual provider · NPI-1

Dr. Mohammad Alavi, DDS

Dentist, Prosthodontics · Astoria, NY

NPI number1871801738
StatusActive
Last updated in NPPESSep 14, 2010

Details

NPI
1871801738
Entity type
Individual (NPI-1)
Name
Dr. Mohammad Alavi
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 14, 2010
Last updated
Sep 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0700X Dentist, Prosthodontics055123NYYes
122300000X Dentist055123NY

Practice location

23-42 38th Street
Astoria, NY 11105

Phone 310-713-9588

Mailing address

23-42 38th Street
Astoria, NY 11105

Phone 310-713-9588

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