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DR. MOJDEH FATEMI DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1801085782

Individual Registrant:
DR. MOJDEH  FATEMI DDS
Gender: F
Sole Proprietor

Location and contact information for practice:
5707 ATLANTIC BLVD SUITE A1 MAYWOOD, CA 90270-2944 US
Tel: 323-771-7226  Fax: 323-771-9496

Contact information for business:
5707 ATLANTIC BLVD SUITE A1 MAYWOOD, CA 90270-2944 US
Tel: 323-771-7226  Fax: 323-771-9496

Registration Information:
NPI: 1801085782
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA45857

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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