Organization · NPI-2

Abrahim Mustafa D.D.S.,inc.

Dentist, General Practice · Pomona, CA

NPI number1770601502
StatusActive
Last updated in NPPESDec 10, 2014

Details

NPI
1770601502
Entity type
Organization (NPI-2)
Legal business name
Abrahim Mustafa D.D.S.,inc.
Organization subpart
No
Enumeration date
Mar 27, 2007
Last updated
Dec 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice42374CAYes

Practice location

2280 S Garey Ave
Pomona, CA 91766-5645

Phone 909-364-0633 · Fax 909-364-0636

Mailing address

2280 S Garey Ave
Pomona, CA 91766-5645

Phone 909-364-0633 · Fax 909-364-0636

Authorized official

Abrahim Abdul Mustafa
Office Manager
9093640633

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