Provider Demographics
NPI:1982903084
Name:ARJMANDI, MOJGAN (DDS)
Entity Type:Individual
Prefix:
First Name:MOJGAN
Middle Name:
Last Name:ARJMANDI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 CITRACADO CIR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-2285
Mailing Address - Country:US
Mailing Address - Phone:805-823-3578
Mailing Address - Fax:
Practice Address - Street 1:6200 CITRACADO CIR
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-2285
Practice Address - Country:US
Practice Address - Phone:805-823-3578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA601581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice