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

Individual provider Dentist · NPI 1124414867

Mehrdad Soheilimoghadam is a Dentist in North Wales, Pennsylvania. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

132 Wilder Way
North Wales, PA 19454-1532
Phone: (310) 760-6042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 0401414790 (VA)
Dentist Taxonomy 122300000X · Licence 0401414790 (VA)

Record details

NPI number1124414867
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2015
Last updated in NPPESApril 9, 2015

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