Dr. Mojtaba G Radi, D.D.S.
Dentist, General Practice in Folsom, CA. Individual provider (NPI-1).
NPI number1013003235
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013003235
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mojtaba G Radi
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 43066 | CA | Yes |
Practice location
309 Natoma StFolsom, CA 95630-2619
Phone 916-985-3366
Mailing address
309 Natoma StFolsom, CA 95630-2619
Phone 530-400-2118
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