Individual
DR. CYRUS KOUROSH MOZAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MDS
Contact information
Practice address
3323 MISSION DR., SANTA CRUZ, CA 95065-1827
(831) 465-0140
(831) 465-0141
Mailing address
3323 MISSION DR, SANTA CRUZ, CA 95065-1827
(831) 465-0140
(831) 465-0141
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
42189
CA
Other
Enumeration date
04/22/2007
Last updated
10/05/2010
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