Provider Demographics
NPI:1093961575
Name:MOHAMMADI-ARAGHI, MOHAMMAD HOSSEIN (DDS, MS)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:HOSSEIN
Last Name:MOHAMMADI-ARAGHI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:MOHAMMAD
Other - Middle Name:HOSSEIN
Other - Last Name:MOHAMMADI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:25571 JEROMINO RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691
Mailing Address - Country:US
Mailing Address - Phone:949-707-5533
Mailing Address - Fax:909-613-1183
Practice Address - Street 1:25571 JEROMINO RD
Practice Address - Street 2:SUITE 11
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:949-707-5533
Practice Address - Fax:909-613-1183
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAS22001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery