Mojdeh Fatemi D.d.s., a Corporation

NPI #1639620990 in Maywood, California

Provider Information

NPI Number: 1639620990
Entity Type: Organization
Organization Name: Mojdeh Fatemi D.d.s., a Corporation
Primary Specialty: Dentist
Enumeration Date: Oct 20, 2016
Last Updated: Oct 20, 2016

Practice Location

Address: 5707 ATLANTIC BLVD
Address 2: STE. A1
City: Maywood
State: California
ZIP Code: 90270-2944
Phone: (323) 771-7226

Authorized Official

Name: DR. MOJDEH FATEMI, D.D.S.
Title: DENTIST
Phone: (323) 771-7226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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