Mohammed Toufic Jeiroudi, DDS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Villa Park, CA

NPI

1952824880

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

40046 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-07-23

Last updated

2017-07-23