Individual
DR. AZIZOLLAH MAGHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
10978 WILKINS AVE, APT B, LOS ANGELES, CA 90024-5484
(310) 405-3065
Mailing address
10978 WILKINS AVE, APT B, LOS ANGELES, CA 90024-5484
(310) 405-3065
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
OMS 62
CA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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