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Organization
MO TAHERI, D.M.D., INC.
Active
Organization
MO TAHERI, D.M.D., INC.
Active
Other names
Vivid Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD TAHERI D.M.D. (PRESIDENT)
(949) 200-3150
Entity
Organization
Contact information
Practice address
1640 NEWPORT BLVD, SUITE 300, COSTA MESA, CA 92627-3786
(949) 200-3150
Mailing address
1640 NEWPORT BLVD, SUITE 300, COSTA MESA, CA 92627-3786
(949) 200-3150
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
63463
CA
Other
Enumeration date
10/26/2014
Last updated
10/26/2014
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