| Mozhgan Molkara Dds,inc. | |
|
21991 El Toro Rd Ste 6 Lake Forest CA 92630-6518 | |
| (949) 380-7788 | |
| (949) 380-8812 |
| Full Name | Mozhgan Molkara Dds,inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21991 El Toro Rd Ste 6, Lake Forest, California |
| Authorized Official Name and Position | Mozhgan Molkara (PRESIDENT) |
| Authorized Official Contact | 9493807788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mozhgan Molkara Dds,inc. 21991 El Toro Rd Ste 6 Lake Forest CA 92630-6518 Ph: (949) 380-7788 | Mozhgan Molkara Dds,inc. 21991 El Toro Rd Ste 6 Lake Forest CA 92630-6518 Ph: (949) 380-7788 |
| NPI Number | 1124513601 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 06/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124513601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 57555 (California) | Primary |
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