Mehrnoosh Moghaddam Dmd a Professional Corp
NPI #1801255104 in Newark, California
Provider Information
- NPI Number
- 1801255104
- Entity Type
- Organization
- Organization Name
- Mehrnoosh Moghaddam Dmd a Professional Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 15, 2016
- Last Updated
- Feb 15, 2016
Practice Location
- Address
- 7332 THORNTON AVE
- City
- Newark
- State
- California
- ZIP Code
- 94560-3647
- Phone
- (510) 796-3333
Authorized Official
- Name
- MEHRNOOSH MOGHADDAM
- Title
- OWNER
- Phone
- (510) 796-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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