| Mehdi Moradiseresht Dds, Inc | |
|
19749 Ventura Blvd Woodland Hills CA 91364-2623 | |
| (310) 985-2065 | |
| Not Available |
| Full Name | Mehdi Moradiseresht Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19749 Ventura Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Mehdi Moradiseresht (OWNER) |
| Authorized Official Contact | 3109852065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehdi Moradiseresht Dds, Inc 19749 Ventura Blvd Woodland Hills CA 91364-2623 Ph: () - | Mehdi Moradiseresht Dds, Inc 19749 Ventura Blvd Woodland Hills CA 91364-2623 Ph: (310) 985-2065 |
| NPI Number | 1043932585 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043932585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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