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DR. MOEIZ KOSHKI DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1376504076

Individual Registrant:
DR. MOEIZ  KOSHKI DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1260 15TH ST #805 SANTA MONIA, CA 90404-1143 US
Tel: 310-395-1261  Fax: 310-395-6645

Contact information for business:
1260 15TH ST #805 SANTA MONIA, CA 90404-1143 US
Tel: 310-395-1261  Fax: 310-395-6645

Registration Information:
NPI: 1376504076
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA44505

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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