Organization
KOSHKI AND NAMINIK DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOEIZ KOSHKI DDS (OWNER)
(323) 278-0170
Entity
Organization
Contact information
Practice address
711 W WHITTIER BLVD, MONTEBELLO, CA 90640-4709
(323) 278-0170
Mailing address
711 W WHITTIER BLVD, MONTEBELLO, CA 90640-4709
(323) 278-0170
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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