National Provider Identifier
Farbod Fazilatkhoo, DDS
Farbod Fazilatkhoo, DDS is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (301) 919-0230.
Profile Overview
- NPI
- 1831945245
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 26, 2024
- Last Updated
- April 26, 2024
Practice Location
- 625 Elmwood Ave # 683
- Rochester, NY 14620-2913
Phone: (301) 919-0230
Mailing Address
- 2919 Elliott St
- Baltimore, MD 21224-4863
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1831945245
- Entity Type
- Individual
- Last Name
- Fazilatkhoo
- First Name
- Farbod
- Credential
- DDS
- Mailing Street Address
- 2919 Elliott St
- Mailing City
- Baltimore
- Mailing State
- MD
- Mailing ZIP Code
- 21224-4863
- Mailing Country
- US
- Mailing Phone
- (301) 919-0230
- Practice Street Address
- 625 Elmwood Ave # 683
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (301) 919-0230
- Enumeration Date
- April 26, 2024
- Last Updated
- April 26, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)