Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fariba Kianmajd

Individual provider General Practice Dentistry · NPI 1083308373

Fariba Kianmajd is a General Practice Dentistry in Hudson, Wisconsin. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2023.

Licensed in
MN, WI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

709 Rodeo Dr Ste 114
Hudson, WI 54016-7758
Phone: (716) 386-3675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 600167115 (WI)
General Practice Dentistry Taxonomy 1223G0001X · Licence D14963 (MN)

Record details

NPI number1083308373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2023
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

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