Roham Kashanimoghaddam
Roham Kashanimoghaddam is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
6258 S Pulaski RdChicago, IL 60629-4610
Phone: (773) 777-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019.034372 (IL) |
|---|
Record details
| NPI number | 1841078193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 18, 2023 |
| Last updated in NPPES | September 18, 2023 |
| Certification date | September 18, 2023 |
| Mailing address | 512 N McClurg Ct Apt 3011, Chicago, IL 60611-4120 |
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