Search › Connecticut › 1223E0200X
Hamed Ghorbani-Moghaddam, D.D.S
NPI 1700144714 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2690 E Main St
Columbia Dental
Bridgeport, CT 06610 - Phone
- (203) 612-6079
- Fax
- (203) 612-6081
- Organisation at this address
- Mgm Family Dental
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 1223G0001X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut