# ABRAHIM MUSTAFA D.D.S.,INC.

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

## Provider details

- **NPI number:** 1770601502
- **Authorized official:** ABRAHIM ABDUL MUSTAFA (OFFICE MANAGER)
- **Authorized official phone:** (909) 364-0633

## Contact information

- **Practice address:** 2280 S GAREY AVE, POMONA, CA 91766-5645
- **Practice address phone:** (909) 364-0633
- **Practice address fax:** (909) 364-0636
- **Mailing address:** 2280 S GAREY AVE, POMONA, CA 91766-5645
- **Mailing address phone:** (909) 364-0633
- **Mailing address fax:** (909) 364-0636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 42374 | CA | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 12/10/2014