Provider Demographics
NPI:1083884423
Name:LANGROODI, HOUMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOUMAN
Middle Name:
Last Name:LANGROODI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1006
Mailing Address - Country:US
Mailing Address - Phone:310-993-2798
Mailing Address - Fax:
Practice Address - Street 1:1122 EASTERN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4802
Practice Address - Country:US
Practice Address - Phone:310-993-2798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02370200122300000X
NY054012-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist