Individual
BRANDEN GHAZI MORAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
CALIFORNIA INSTITUTION FOR MEN, 14901 CENTRAL AVE., CHINO, CA 91710
(909) 597-1821
Mailing address
CALIFORNIA INSTITUTION FOR MEN, 14901 CENTRAL AVE., CHINO, CA 91710
(909) 597-1821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37142
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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