Organization
MOZHGAN MOLKARA DDS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOZHGAN MOLKARA DDS (PRESIDENT)
(949) 380-7788
Entity
Organization
Contact information
Practice address
21991 EL TORO RD STE 6, LAKE FOREST, CA 92630-6518
(949) 380-7788
(949) 380-8812
Mailing address
21991 EL TORO RD STE 6, LAKE FOREST, CA 92630-6518
(949) 380-7788
(949) 380-8812
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57555
CA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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