Modjtahedi, Bijan

Modjtahedi, Bijan is an individual health care provider with primary practice located at 18109 Magnolia St , Fountain Valley CA 92708-5647. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Modjtahedi, Bijan can be contacted via phone (714) 962-2432.

Contact Information

Primary practice address
18109 Magnolia St Fountain Valley CA 92708-5647
Phone: (714) 962-2432
Fax: (714) 962-3752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 35523 California

Profile Details

NPI number 1043205420
LBN Legal business name Modjtahedi, Bijan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers