Individual
CAMELLIA SHAHMORADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10735 LONG BEACH BLVD, LYNWOOD, CA 90262-1910
(310) 504-2414
Mailing address
10735 LONG BEACH BLVD, LYNWOOD, CA 90262-1910
(310) 504-2414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106747
CA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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