Mehrdad Mortaz, DDS
Dentist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1265622112
StatusActive
Last updated in NPPESOct 20, 2008
Details
- NPI
- 1265622112
- Entity type
- Individual (NPI-1)
- Name
- Mehrdad Mortaz
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2007
- Last updated
- Oct 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 49606 | CA | Yes |
Practice location
951 Granville AveApt 301
Los Angeles, CA 90049-5390
Phone 310-592-3357
Mailing address
951 Granville AveApt 301
Los Angeles, CA 90049-5390
Phone 310-592-3357 · Fax 310-442-1980
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