Individual
DR. ABOLGHASSEM MADANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20932 BROOKHURST ST, STE 207, HUNTINGTON BEACH, CA 92646-6638
(714) 965-9870
(714) 965-9870
Mailing address
20932 BROOKHURST ST, STE 207, HUNTINGTON BEACH, CA 92646-6638
(714) 965-9870
(714) 965-9870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25327
CA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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