David K Moghimi DDS INC
Dentist in Montebello, CA. Organization (NPI-2).
NPI number1659569291
StatusActive
Last updated in NPPESJun 20, 2008
Details
- NPI
- 1659569291
- Entity type
- Organization (NPI-2)
- Legal business name
- David K Moghimi DDS INC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2007
- Last updated
- Jun 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
2100 W Beverly BlvdMontebello, CA 90640-3902
Phone 323-724-9536 · Fax 323-724-5608
Mailing address
2100 W Beverly BlvdMontebello, CA 90640-3902
Phone 323-724-9536 · Fax 323-724-5608
Authorized official
David K Moghimi
Dentist
3237249536
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