Individual
BITA MOGHADDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3500 S BRISTOL ST, SUITE 100, SANTA ANA, CA 92704-7319
(714) 957-6030
Mailing address
PO BOX 10612, NEWPORT BEACH, CA 92658-5002
(310) 927-0552
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
53311
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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