Individual
EHSAN MOSSAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
113 WATERWORKS WAY STE 260, IRVINE, CA 92618-3169
(916) 239-5717
Mailing address
11465 TUNNEL HILL WAY, GOLD RIVER, CA 95670-7223
(916) 239-5717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61529
CA
Other
Enumeration date
08/02/2012
Last updated
12/26/2024
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