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Organization
PAYAM MOJAB DDS INC
Active
Organization
PAYAM MOJAB DDS INC
Active
Other names
Huntington Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM MOJAB DDS (PRESIDENT)
(323) 582-0755
Entity
Organization
Contact information
Practice address
2542 E FLORENCE AVE, #A, HUNTINGTON PARK, CA 90255
(323) 582-0755
(323) 582-7392
Mailing address
2542 E FLORENCE AVE, #A, HUNTINGTON PARK, CA 90255
(323) 582-0755
(323) 582-7392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9394201
DENTICAL
CA
Enumeration date
12/28/2006
Last updated
08/22/2020
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