Individual provider · Type 1 NPI

Mona Momeni Moghaddam

Pediatric Dentistry · Stockton, CA

NPI number 1457044323 Active

Practice location

616 W Hammer Ln Ste B
Stockton, CA 95210-3749

Call (209) 634-4092 Map

Mailing address

4229 Belcarra Ct
Dublin, CA 94568-7807

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X2901602400 (MI)
Pediatric Dentistry Primary 1223P0221X112043 (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 1457044323

Mona Momeni Moghaddam's National Provider Identifier is 1457044323, issued on May 29, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Stockton, CA. The record was last updated on Dec 5, 2025.