Individual
DR. DORSA DAVARI-MOGHADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10306 SEPULVEDA BLVD, MISSION HILLS, CA 91345-2422
(818) 722-1576
Mailing address
10306 SEPULVEDA BLVD, MISSION HILLS, CA 91345-2422
(818) 722-1576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108070
CA
Other
Enumeration date
09/20/2022
Last updated
12/19/2024
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