Most Relevant Information
Provider Data
| NPI Number: | 1003477639 |
| Provider Name: | NADIA MOHAMMADI DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 35219 |
Most Important Dates
| Enumeration Date: | 06/25/2019 |
| Last Updated: | 02/17/2022 |
Provider Practice Location
7251 YOUREE DR
SHREVEPORT
LA
711055104
Practice Location Phone/Fax
| Phone: | 3182391638 |
| Fax: |
Provider Mailing Location
8455 FERN AVE APT 1210
SHREVEPORT
LA
711055783
Provider Mailing Phone/Fax
| Phone: | 5042964115 |
| Fax: |