Individual
ANOOSH GOLIAN MOGHADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7616 TOPANGA CANYON BLVD, CANOGA PARK, CA 91304-5534
(818) 887-7700
Mailing address
4635 ARRIBA DR, TARZANA, CA 91356-4825
(818) 535-3985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
109418
CA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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