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DR. MOEIZ KOSHKI DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1376504076
Individual Registrant:DR. MOEIZ KOSHKI DDS
Gender: M
Not Sole Proprietor
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
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
Tel: 310-395-1261 Fax: 310-395-6645
Registration Information:
NPI: 1376504076
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 44505 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
