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NPI Code Detail

MEDICARE: NAHAL BAKHTIARI DDS

MEDICARE: NAHAL BAKHTIARI DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry009449CT

General Provider Information

NPI Number : 1558541730
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAHAL BAKHTIARI DDS
Provider Business Mailing Address
First Line : 1201 BOSTON POST RD
Second Line :
City : MILFORD
State : CT
Zip : 06460-2703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 BOSTON POST RD
Second Line :
City : MILFORD
State : CT
Zip : 06460-2703
Country : US
Telephone Number : 203-878-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2007
Last Update Date : 11/06/2007

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Directions to “ NAHAL BAKHTIARI DDS” Practice Location

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