Moqattash Dental Group Corp | |
17624 Park Plaza Ct Victorville CA 92395-7739 | |
(914) 310-1793 | |
Not Available |
Full Name | Moqattash Dental Group Corp |
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Speciality | Dentist - General Practice |
Location | 17624 Park Plaza Ct, Victorville, California |
Authorized Official Name and Position | Alexander Moqattash (PRESIDENT) |
Authorized Official Contact | 9143101793 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Moqattash Dental Group Corp 17624 Park Plaza Ct Victorville CA 92395-7739 Ph: (914) 310-1793 | Moqattash Dental Group Corp 17624 Park Plaza Ct Victorville CA 92395-7739 Ph: (914) 310-1793 |
NPI Number | 1477915734 |
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Provider Enumeration Date | 03/25/2016 |
Last Update Date | 03/25/2016 |
Identifier | Type | State | Issuer |
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1477915734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 64825 (California) | Primary |
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