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Individual

ALI-RAAD MOATTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
19039 NORDHOFF ST, APT. 211, NORTHRIDGE, CA 91324-4808
(310) 775-0494
Mailing address
19039 NORDHOFF ST, APT. 211, NORTHRIDGE, CA 91324-4808
(310) 775-0494

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59502
CA

Other

Enumeration date
07/23/2010
Last updated
07/27/2010
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