Rodrick Ghadimi Dmd INC

NPI #1619254059 in Moorpark, California

Provider Information

NPI Number: 1619254059
Entity Type: Organization
Organization Name: Rodrick Ghadimi Dmd INC
Primary Specialty: Dentist
Enumeration Date: Nov 14, 2011
Last Updated: Apr 22, 2019

Practice Location

Address: 484 E LOS ANGELES AVE
Address 2: 210
City: Moorpark
State: California
ZIP Code: 93021-1900
Phone: (805) 532-1101

Authorized Official

Name: DR. RODRICK GHADIMI, DMD
Title: PRESIDENT
Phone: (805) 532-1101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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