Most Relevant Information
Provider Data
| NPI Number: | 1003459355 |
| Provider Name: | NASER MOHAMMADZADEH REZAEI |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0300X |
| Specialty: | Dentist |
| License Number: | 35770 |
Most Important Dates
| Enumeration Date: | 10/18/2019 |
| Last Updated: | 10/18/2019 |
Provider Practice Location
5929 CROMO DR
EL PASO
TX
799125572
Practice Location Phone/Fax
| Phone: | 9156715213 |
| Fax: |
Provider Mailing Location
47 BRANGLEBRINK RD
SAINT JAMES
NY
117801357
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |