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Organization
MOQATTASH DENTAL GROUP CORP
Active
Organization
MOQATTASH DENTAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER MOQATTASH DDS (PRESIDENT)
(914) 310-1793
Entity
Organization
Contact information
Practice address
17624 PARK PLAZA CT, VICTORVILLE, CA 92395-7739
(914) 310-1793
Mailing address
17624 PARK PLAZA CT, VICTORVILLE, CA 92395-7739
(914) 310-1793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64825
CA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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