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Individual

DR. KAMRAN D MOGHADAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
10564 ASHTON AVE, LOS ANGELES, CA 90024-5140
(310) 780-8997
(310) 470-4567
Mailing address
10564 ASHTON AVE, LOS ANGELES, CA 90024-5140
(310) 780-8997
(310) 470-4567

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
40280
CA

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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