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Individual

SHIVA MOHAZAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
24634 MADISON AVE STE E, MURRIETA, CA 92562
(951) 600-1062
Mailing address
16011 BUTTERFIELD RANCH RD UNIT 235, CHINO HILLS, CA 91709-7456
(310) 597-1411

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS101426
CA

Other

Enumeration date
10/01/2014
Last updated
05/15/2018
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