Provider Demographics
NPI:1245734599
Name:TOFIGHI, GOLNAZ (DMD)
Entity Type:Individual
Prefix:
First Name:GOLNAZ
Middle Name:
Last Name:TOFIGHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:GOLDIE
Other - Middle Name:
Other - Last Name:TOFIGHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 MEADOW VIEW LN
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-3363
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4422 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2594
Practice Address - Country:US
Practice Address - Phone:718-960-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADR60850666122300000X
PADS042217122300000X
NY062378122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist