Mostafa Koperly Valid NPI
Individual provider · Dentist · Fontana, CA
- NPI
- 1417346727
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 101047 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-01-10
- Last updated
- 2017-02-28
Practice location
17113 Arrow Blvd
Fontana, CA 92335-3948
(832) 436-8277