DR. David R Moghaddas, DDS

NPI #1003247651 in Los Angeles, California

Provider Information

NPI Number: 1003247651
Entity Type: Individual
Name: DR. David R Moghaddas, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 9, 2013
Last Updated: Dec 9, 2013

Practice Location

Address: 89 S. SEPULVEDA BLVD
Address 2: SUITE 117
City: Los Angeles
State: California
ZIP Code: 90045-0000
Phone: (310) 641-8890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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