Organization
DOWLATY DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD MEHDI DOWLATY (PRESIDENT)
(714) 253-3172
Entity
Organization
Contact information
Practice address
166 N RAYMOND AVE, FULLERTON, CA 92831-4610
(714) 253-4621
Mailing address
166 N RAYMOND AVE, FULLERTON, CA 92831-4610
(714) 253-3172
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/31/2023
Last updated
02/23/2024
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