Individual
DR. MOJDAH MICHELLE AKHAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
345 F ST, #190, CHULA VISTA, CA 91910-2626
(619) 420-5811
(619) 420-5842
Mailing address
345 F ST, #190, CHULA VISTA, CA 91910-2626
(619) 420-5811
(619) 420-5842
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42796
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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