| Aliraad Moattar Dds Inc | |
|
3748 Montgomery Dr Santa Rosa CA 95405-5215 | |
| (707) 546-7905 | |
| (707) 546-1573 |
| Full Name | Aliraad Moattar Dds Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3748 Montgomery Dr, Santa Rosa, California |
| Authorized Official Name and Position | Ali-raad Moattar (OWNER DENTIST) |
| Authorized Official Contact | 7075467905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aliraad Moattar Dds Inc 3748 Montgomery Dr Santa Rosa CA 95405-5215 Ph: (707) 546-7905 | Aliraad Moattar Dds Inc 3748 Montgomery Dr Santa Rosa CA 95405-5215 Ph: (707) 546-7905 |
| NPI Number | 1871167478 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871167478 | NPI | - | NPPES |
| 59502 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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