Individual provider · Type 1 NPI

Roya Mahmoodi

Pediatric Dentistry · Loma Linda, CA

NPI number 1336630177 Active

Practice location

11092 Anderson St
Loma Linda, CA 92350-1706

Call (415) 798-1996 Map

Mailing address

1183 Solano Ave
Albany, CA 94706-1637

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X101444 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1336630177

Roya Mahmoodi's National Provider Identifier is 1336630177, issued on May 29, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Loma Linda, CA. The record was last updated on Jan 3, 2019.