NPI 1417634320 · live from the CMS NPI Registry
Mohammad Abdollahzadehfard
Dentist in Fort Lauderdale, FL. National Provider Identifier 1417634320, active.
NPI record
| NPI | 1417634320 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1865 Cordova Rd, Fort Lauderdale, FL 33316 |
| Practice phone | 954-947-1458 |
| Mailing address | 1 Sw 94th Ter, Plantation, FL 33324 |
| Enumerated | July 3, 2023 |
| Last updated | July 31, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 28385 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.