Provider Demographics
NPI:1790117695
Name:MAGHSOODPOUR, ARBEL (DDS)
Entity type:Individual
Prefix:DR
First Name:ARBEL
Middle Name:
Last Name:MAGHSOODPOUR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 23RD AVE # 914
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93043-3737
Mailing Address - Country:US
Mailing Address - Phone:805-427-4035
Mailing Address - Fax:
Practice Address - Street 1:NAVAL BASE VENTURA COUNTY 720 23RD AVE NUMBER 914
Practice Address - Street 2:
Practice Address - City:PORT HUENEME
Practice Address - State:CA
Practice Address - Zip Code:93043-0140
Practice Address - Country:US
Practice Address - Phone:805-427-4035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29257122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist