Individual provider · Type 1 NPI

Seyed Ali Mostafavi Moghaddam, DDS

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number 1497678809 Active

Practice location

2710 N Towne Ave, Unit 313
Pomona, CA 91767

Call (626) 240-3966 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497678809

Seyed Ali Mostafavi Moghaddam, DDS's National Provider Identifier is 1497678809, issued on Aug 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on Aug 3, 2026.