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Individual

DR. MOJGAN GHIAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
17075 DEVONSHIRE ST, SUITE 302, NORTHRIDGE, CA 91325-1600
(818) 368-9191
(818) 368-9173
Mailing address
17075 DEVONSHIRE ST, SUITE 302, NORTHRIDGE, CA 91325-1600
(818) 368-9191
(818) 368-9173

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
44403
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CA44403
LIC.
CA
Enumeration date
12/13/2006
Last updated
03/07/2023
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