Individual provider · NPI-1

Dr. Moller Awad, DMD

Dentist, General Practice · Pomona, CA

NPI number1932694643
StatusActive
Last updated in NPPESOct 22, 2024

Details

NPI
1932694643
Entity type
Individual (NPI-1)
Name
Dr. Moller Awad
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 25, 2018
Certification date
Oct 22, 2024
Last updated
Oct 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice102608CAYes

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-623-6116

Mailing address

Po Box 1787
Huntington Beach, CA 92647-1787

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