Organization
ALAMEDA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIREZA MOVASSAGHI DDS (MANAGING DENTIST)
(323) 585-9200
Entity
Organization
Contact information
Practice address
7700 ALAMEDA ST, WALNUT PARK, CA 90255-3745
(323) 585-9200
Mailing address
7700 ALAMEDA ST, WALNUT PARK, CA 90255-3745
(323) 585-9200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39189
CA
Other
Enumeration date
08/14/2008
Last updated
08/26/2008
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