Afrooz Moghadam
Dentist in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1295262012
StatusActive
Last updated in NPPESMay 11, 2017
Details
- NPI
- 1295262012
- Entity type
- Individual (NPI-1)
- Name
- Afrooz Moghadam
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2017
- Last updated
- May 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 101340 | CA | Yes |
Practice location
8678 19th St140
Rancho Cucamonga, CA 91701-4559
Phone 909-257-3388
Mailing address
9763 La Jolla Dr Apt DRancho Cucamonga, CA 91701-6120
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