Golshan Mortezaiefard, DMD

NPI #1790864882 in Canoga Park, California

Provider Information

NPI Number: 1790864882
Entity Type: Individual
Name: Golshan Mortezaiefard, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 22110 ROSCOE BLVD
Address 2: STE 101
City: Canoga Park
State: California
ZIP Code: 91304
Phone: (818) 888-4004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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