Individual provider · Type 1 NPI

Parastou Modjarrad, DMD

Pediatric Dentistry · Bronx, NY

NPI number 1396192308 Active

Practice location

1775 Grand Concourse Fl 6
Bronx, NY 10453

Call (718) 901-8400 Map

Mailing address

12797 Thacker Hill Ct
Herndon, VA 20171-2986

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X059338-1 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1396192308

Parastou Modjarrad, DMD's National Provider Identifier is 1396192308, issued on May 19, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bronx, NY. The record was last updated on Mar 4, 2021.