Organization
ABRAHIM MUSTAFA D.D.S.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHIM ABDUL MUSTAFA (OFFICE MANAGER)
(909) 364-0633
Entity
Organization
Contact information
Practice address
2280 S GAREY AVE, POMONA, CA 91766-5645
(909) 364-0633
(909) 364-0636
Mailing address
2280 S GAREY AVE, POMONA, CA 91766-5645
(909) 364-0633
(909) 364-0636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42374
CA
Other
Enumeration date
03/27/2007
Last updated
12/10/2014
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