Organization
JAMACK MOZAFFARI DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMACK MOZAFFARI DDS (DENTIST)
(818) 343-1654
Entity
Organization
Contact information
Practice address
7455 RESEDA BLVD STE F, RESEDA, CA 91335-7461
(818) 343-1654
(818) 343-7606
Mailing address
7455 RESEDA BLVD STE F, RESEDA, CA 91335-7461
(818) 343-1654
(818) 343-7606
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
55134
CA
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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