Organization
MOVASSAGHI DENTAL COORPORATION
Active
Other names
Alameda Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA MOVASSAGHI D.D.S (OWNER)
(323) 585-9200
Entity
Organization
Contact information
Practice address
7700 S ALAMEDA ST, WALNUT PARK, CA 90255-3745
(323) 585-9200
(323) 585-9408
Mailing address
7700 S ALAMEDA ST, WALNUT PARK, CA 90255-3745
(323) 585-9200
(323) 585-9408
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
39189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39189
—
CA
Enumeration date
06/14/2012
Last updated
06/14/2012
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