Most Relevant Information
Provider Data
| NPI Number: | 1003247651 |
| Provider Name: | DAVID R MOGHADDAS DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | CA40966 |
Most Important Dates
| Enumeration Date: | 12/09/2013 |
| Last Updated: | 12/09/2013 |
Provider Practice Location
89 S. SEPULVEDA BLVD
SUITE 117
LOS ANGELES
CA
900450000
Practice Location Phone/Fax
| Phone: | 3106418890 |
| Fax: | 3106418859 |
Provider Mailing Location
89 S. SEPULVEDA BLVD.
SUITE 117
LOS ANGELES
CA
900450000
Provider Mailing Phone/Fax
| Phone: | 3106418890 |
| Fax: | 3106418859 |