# DR LEILA MOGHADAM DMD APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720949506
- **Authorized official:** DR. LEILA MOGHADAM DMD (DENTIST/OWNER)
- **Authorized official phone:** (818) 857-6616

## Contact information

- **Practice address:** 10000 SANTA MONICA BLVD UNIT 3606, LOS ANGELES, CA 90067-7035
- **Practice address phone:** (818) 857-6616
- **Mailing address:** 10000 SANTA MONICA BLVD UNIT 3606, LOS ANGELES, CA 90067-7035
- **Mailing address phone:** (818) 857-6616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2025
- **Last updated:** 11/20/2025