NASTARAN MOSHAEINEZHAD, DDS

Dentist - General Practice

Active Individual
NPI: 1407551401

Practice Address

1209 N RETAIL CT
Myrtle Beach, SC 29577

Phone: (843) 357-0213

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Dentist - General Practice 1223G0001X Yes DGD.10596 (SC)

Frequently Asked Questions

NPI 1407551401 is the National Provider Identifier for NASTARAN MOSHAEINEZHAD, DDS, a Dentist - General Practice provider located in Myrtle Beach, SC. This NPI was enumerated on March 31, 2023.
NASTARAN MOSHAEINEZHAD, DDS practices at 1209 N RETAIL CT, Myrtle Beach, SC 29577.

Quick Facts

NPI
1407551401
Type
Individual
Enumerated
Mar 31, 2023
Last Updated
Jul 17, 2023

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