Organization
AUBURN DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORTEZA MAZLOOM (D.D.S.)
(530) 885-1968
Entity
Organization
Contact information
Practice address
1915 GRASS VALLEY HWY STE 200, AUBURN, CA 95603-2840
(530) 885-1968
Mailing address
1915 GRASS VALLEY HWY STE 200, AUBURN, CA 95603-2840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49596
CA
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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