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Organization
NINA GRAY, DMD, INC.
Active
Organization
NINA GRAY, DMD, INC.
Active
Other names
Dental Plus California
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA MOGHADDAM GRAY DMD (PRESIDENT)
(818) 830-9050
Entity
Organization
Contact information
Practice address
14415 CHASE ST, PANORAMA CITY, CA 91402-3017
(818) 830-9050
(818) 830-9025
Mailing address
14415 CHASE ST, PANORAMA CITY, CA 91402-3017
(818) 830-9050
(818) 830-9025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92749-02
DENTI-CAL ID
CA
Enumeration date
02/09/2007
Last updated
10/07/2014
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