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General NPI Number Information
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NPI Number | 1821526419
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Entity Type | Organization
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Legal Business Name | DR ALEXANDER S MORADZADEH DDS INC
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 2206 S FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90007-2049
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Country | US
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Telephone | 213-748-8448
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Fax | 213-749-5569
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Provider Business Mailing Address
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Address Line | 2206 S FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90007-2049
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Country | US
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Telephone | 213-748-8448
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Fax | 213-749-5569
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEXANDER S MORADZADEH
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Credential | DDS
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Telephone | 213-748-8448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 57506
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License Number State | CA
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