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Organization
JADID MONTAZERI D.D.S. DENTAL, CORP.
Active
Organization
JADID MONTAZERI D.D.S. DENTAL, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRNOOSH MONTAZERI DDS (PRESIDENT)
(323) 888-0999
Entity
Organization
Contact information
Practice address
1332 W WHITTIER BLVD, MONTEBELLO, CA 90640-4601
(323) 888-0999
(818) 541-1688
Mailing address
1332 W WHITTIER BLVD, MONTEBELLO, CA 90640-4601
(323) 888-0999
(818) 541-1688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
49549
CA
1223G0001X
General Practice Dentistry
Primary
51111
CA
Other
Enumeration date
03/12/2009
Last updated
11/03/2021
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