Organization · NPI-2
Awad And Moore Dental Corporation
Dentist · Pomona, CA
NPI number1033506282
StatusActive
Last updated in NPPESApr 24, 2015
Details
- NPI
- 1033506282
- Entity type
- Organization (NPI-2)
- Legal business name
- Awad And Moore Dental Corporation
- Organization subpart
- No
- Enumeration date
- Apr 24, 2015
- Last updated
- Apr 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Pomona Dentistry Dental Group (Doing Business As)
Practice location
2071 Rancho Valley Dr Ste 140Pomona, CA 91766-7105
Phone 909-374-1815 · Fax 909-374-1042
Mailing address
17000 Red Hill AvenueIrvine, CA 92614
Phone 714-845-8890 · Fax 949-474-1495
Authorized official
Paul Y Awad
Owner
9093741815
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