Organization
ALIREZA MOVASSAGHI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIREZA MOVASSAGHI DDS (DENTIST)
(213) 383-3314
Entity
Organization
Contact information
Practice address
811 S ALVARADO ST, LOS ANGELES, CA 90057-4009
(213) 383-3314
Mailing address
811 S ALVARADO ST, LOS ANGELES, CA 90057-4009
(213) 383-3314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902903909
1
CA
Enumeration date
05/24/2007
Last updated
08/22/2020
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