Shoushtari Moghaddam, Elinaz

Shoushtari Moghaddam, Elinaz is an sole proprietor health care provider with primary practice located at 13700 Marina Pointe Dr Unit 901 , Marina Del Rey CA 90292-9263. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Shoushtari Moghaddam, Elinaz can be contacted via phone (917) 623-0743.

Contact Information

Primary practice address
13700 Marina Pointe Dr Unit 901 Marina Del Rey CA 90292-9263
Phone: (917) 623-0743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 62009 California

Profile Details

NPI number 1659614014
LBN Legal business name Shoushtari Moghaddam, Elinaz
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2013
Last updated Apr 3rd, 2013 - about 11 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.

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