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Organization

MONICA MOUSSANEJAD DDS INC

Active
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Organization

MONICA MOUSSANEJAD DDS INC

Active
Other names
Tarzana Smile Design
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONICA MOUSSANEJAD DDS (PRESIDENT)
(818) 708-3828
Entity
Organization

Contact information

Practice address
5620 WILBUR AVE STE 300, TARZANA, CA 91356-1311
(818) 708-3828
Mailing address
5620 WILBUR AVE STE 300, TARZANA, CA 91356-1311
(818) 708-3828

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50788
CA

Other

Enumeration date
06/19/2009
Last updated
06/19/2009
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