Moqattash Dental Group Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64825 Issued in CA

Legal business name

MOQATTASH DENTAL GROUP CORP

Practice address

17624 Park Plaza CT
Victorville, CA 92395-7739

Phone

(914) 310-1793

NPI assigned

Mar 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexander Moqattash, DDS

Title

President

Phone

(914) 310-1793

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1477915734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17624 PARK PLAZA CT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957739",
            "telephone_number": "914-310-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17624 PARK PLAZA CT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957739",
            "telephone_number": "914-310-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOQATTASH DENTAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "MOQATTASH",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-310-1793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Montes
• Angie Montiel
• Dina Mooney, LMFT
• Therese Lorraine Moore
• Samantha Moorhouse, BCBA
• Nathan Elijah Mora
• Rosenda Mora
• Morakod Lim MD Inc
• Jessica Morales Sanchez, ACSW
• Cynthia Marilyn Morales, CADC-II

• General Practice Dentistry in Victorville, CA
• Providers in Victorville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.