Organization · Type 2 NPI
Hossein Malakooti A Dental Corporation
Dental Clinic/Center · Fontana, CA
NPI number
1104425131
Active
Practice location
16540 Merrill Ave
Fontana, CA 92335
Mailing address
6598 E Fordham Cir
Anaheim, CA 92807-5010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1104425131
Hossein Malakooti A Dental Corporation's National Provider Identifier is 1104425131, issued on Oct 21, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fontana, CA. The record was last updated on Oct 21, 2020.