# ALIREZA MOVASSAGHI, D.D.S, INC.

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

## Provider details

- **NPI number:** 1992077721
- **Authorized official:** DR. ALIREZA MOVASSAGHI D.D.S (DIRECTOR)
- **Authorized official phone:** (310) 327-4166

## Contact information

- **Practice address:** 17305 CRENSHAW BLVD STE A, TORRANCE, CA 90504-2641
- **Practice address phone:** (310) 327-4166
- **Practice address fax:** (310) 327-4675
- **Mailing address:** 17305 CRENSHAW BLVD. STE. A, TORRANCE, CA 90504
- **Mailing address phone:** (310) 327-4166
- **Mailing address fax:** (310) 327-4675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 39189 | CA | Yes |

## Other

- **Enumeration date:** 02/09/2012
- **Last updated:** 11/05/2015