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MOHAMMED TOUFIC JEIROUDI DDS
Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1952824880
Individual Registrant: MOHAMMED TOUFIC JEIROUDI DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
18441 VALLEY DR VILLA PARK, CA 92861-2832 US
Tel: 714-598-5069 Fax: --
Tel: 714-598-5069 Fax: --
Contact information for business:
18441 VALLEY DR VILLA PARK, CA 92861-2832 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1952824880
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223X0400X | Dental Providers Dentist Orthodontics and Dentofacial Orthopedics | CA | 40046 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
