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Individual
DR. NINA MOGHADDAM GRAY
Active
Individual
DR. NINA MOGHADDAM GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972643260
DENTICAL
CA
Enumeration date
02/07/2007
Last updated
10/07/2014
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