| Langroodi Dental Professional Corporation | |
|
5461 Holt Blvd Montclair CA 91763-4500 | |
| (909) 983-6888 | |
| Not Available |
| Full Name | Langroodi Dental Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5461 Holt Blvd, Montclair, California |
| Authorized Official Name and Position | Houman Langroodi (PRESIDENT) |
| Authorized Official Contact | 3109932798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Langroodi Dental Professional Corporation 1250 S Night Star Way Anaheim CA 92808-2518 Ph: (310) 993-2798 | Langroodi Dental Professional Corporation 5461 Holt Blvd Montclair CA 91763-4500 Ph: (909) 983-6888 |
| NPI Number | 1770147670 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770147670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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