Individual provider · Type 1 NPI
Azizollah Maghen, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA
NPI number
1417037342
Active
Practice location
10978 Wilkins Ave, Apt B
Los Angeles, CA 90024-5484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | OMS 62 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1417037342
Azizollah Maghen, DMD, MD's National Provider Identifier is 1417037342, issued on Oct 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.