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Individual

SEAN MOGHADAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1620 S HARBOR BLVD, FULLERTON, CA 92832-3473
(714) 294-7070
Mailing address
1620 S HARBOR BLVD, FULLERTON, CA 92832-3473
(213) 222-5183

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
107536
CA

Other

Enumeration date
10/14/2016
Last updated
08/25/2025
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