Individual provider · Type 1 NPI
Mehrdad Soheilimoghadam
Periodontics · North Wales, PA
NPI number
1124414867
Active
Practice location
132 Wilder Way
North Wales, PA 19454-1532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 0401414790 (VA) |
| Periodontics Primary | 1223P0300X | 0401414790 (VA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1124414867
Mehrdad Soheilimoghadam's National Provider Identifier is 1124414867, issued on Apr 9, 2015. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in North Wales, PA. The record was last updated on Apr 9, 2015.