FARNAM AHMADI MOSHTAGHIN
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1972142040- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3870 BROAD ST STE 1, SAN LUIS OBISPO, CA, 934017172
- Phone
- (805) 214-4071
Specialties & Taxonomies
Dentist
Primary License: CA #104741