Organization
DENTAL PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSEN MIR (OWNER)
(310) 612-1676
Entity
Organization
Contact information
Practice address
104 W ANAHEIM ST STE C, WILMINGTON, CA 90744-4488
(310) 830-3452
Mailing address
104 W ANAHEIM ST STE C, WILMINGTON, CA 90744-4488
(310) 830-3452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36396
CA
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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