Neda Mousavi Valid NPI
Individual provider · Dentist · San Clemente, CA
- NPI
- 1538858295
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 110362 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2023-05-08
- Last updated
- 2024-07-29
Practice location
308 Avenida San Pablo
San Clemente, CA 92672
(520) 203-2261