Organization
FARZAD MOGHADDAM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZAD MOGHADDAM (DIRECTOR)
(661) 834-3600
Entity
Organization
Contact information
Practice address
3600 DE SOUZA PL STE A, BAKERSFIELD, CA 93309-5112
(661) 834-3600
Mailing address
3600 DE SOUZA PL STE A, BAKERSFIELD, CA 93309-5112
(661) 834-3600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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