| Mojdeh Fatemi D.d.s., A Corporation | |
|
5707 Atlantic Blvd Ste. A1 Maywood CA 90270-2944 | |
| (323) 771-7226 | |
| Not Available |
| Full Name | Mojdeh Fatemi D.d.s., A Corporation |
|---|---|
| Speciality | Dentist |
| Location | 5707 Atlantic Blvd, Maywood, California |
| Authorized Official Name and Position | Mojdeh Fatemi (DENTIST) |
| Authorized Official Contact | 3237717226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mojdeh Fatemi D.d.s., A Corporation 5707 Atlantic Blvd Ste. A1 Maywood CA 90270-2944 Ph: () - | Mojdeh Fatemi D.d.s., A Corporation 5707 Atlantic Blvd Ste. A1 Maywood CA 90270-2944 Ph: (323) 771-7226 |
| NPI Number | 1639620990 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639620990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45857 (California) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4487 Slauson Ave, Maywood, CA 90270 Phone: 323-773-9961 Fax: 323-773-6235 |