Individual
ROYA MAHMOODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11092 ANDERSON ST, LOMA LINDA, CA 92350-1706
(415) 798-1996
Mailing address
1183 SOLANO AVE, ALBANY, CA 94706-1637
(415) 798-1996
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
101444
CA
Other
Enumeration date
05/29/2018
Last updated
01/03/2019
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