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Seyed Moe Momen, DDS
Pediatric Dentist in Bridgeport, West Virginia
NPI 1306912258

Seyed Moe Momen is a Pediatric Dentist based in Bridgeport, WV and is specialized in Pediatric Dentistry. Seyed Moe Momen practices in Bridgeport, WV and has the professional credentials of DDS. The NPI Number for Seyed Moe Momen is 1306912258 and holds a License No. 3301 (West Virginia).

The current practice location address for Seyed Moe Momen is 9 Chenoweth Drive, Bridgeport, WV and can be reached out via phone at 304-842-1921 and via fax at 604-842-1960.

Location: 9 Chenoweth Drive, Bridgeport, WV, 26330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306912258
Provider Name
Seyed Moe Momen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
9 Chenoweth Drive, Bridgeport, WV, 26330
Phone Number
304-842-1921
Fax Number
604-842-1960
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0138589000 05 WV
institution
Provider Business Practice Location Address Details
Address
9 Chenoweth Drive
City
Bridgeport
State
West Virginia
Zip
26330
Phone Number
304-842-1921
Fax Number
604-842-1960
person
Provider Business Mailing Address Details
Address
9 Chenoweth Drive
City
Bridgeport
State
West Virginia
Zip
26330
Phone Number
304-842-1921
Fax Number
604-842-1960
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3301 (West Virginia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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