DR. Bijan Modjtahedi, DDS
NPI #1043205420 in Fountain Valley, California
Provider Information
- NPI Number
- 1043205420
- Entity Type
- Individual
- Name
- DR. Bijan Modjtahedi, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 13, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 18109 MAGNOLIA ST
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-5647
- Phone
- (714) 962-2432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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