# MOVASSAGHI DENTAL COORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alameda Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780946707
- **Authorized official:** ALIREZA MOVASSAGHI D.D.S (OWNER)
- **Authorized official phone:** (323) 585-9200

## Contact information

- **Practice address:** 7700 S ALAMEDA ST, WALNUT PARK, CA 90255-3745
- **Practice address phone:** (323) 585-9200
- **Practice address fax:** (323) 585-9408
- **Mailing address:** 7700 S ALAMEDA ST, WALNUT PARK, CA 90255-3745
- **Mailing address phone:** (323) 585-9200
- **Mailing address fax:** (323) 585-9408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 39189 | CA | Yes |

## Other

- **Enumeration date:** 06/14/2012
- **Last updated:** 06/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 39189 | — | CA |