Macy Agah Valid NPI

Individual provider · General Practice Dentistry · Loma Linda, CA

NPI

1720910623

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

113036 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2026-06-02

Last updated

2026-06-02