Individual
DR. AVIDEH DANESHVAR- MOZAFARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
69450 RAMON RD, CATHEDRAL CITY, CA 92234-3349
(647) 447-9345
Mailing address
69450 RAMON RD, CATHEDRAL CITY, CA 92234-3349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105782
CA
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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