Organization
MOUSSAVIAN DDS INC
Active
Other names
Sunshine Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PARISA MOUSSAVIAN DDS (CEO)
(805) 666-0907
Entity
Organization
Contact information
Practice address
505 W BEVERLY BLVD, MONTEBELLO, CA 90640-3621
(323) 724-1330
Mailing address
505 W BEVERLY BLVD, MONTEBELLO, CA 90640-3621
(323) 724-1330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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