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JAVAD AGHALOO DDS A PROFESSIONAL CORPORATION NPI 1245606789


NPI Information

NPI: 1245606789
Provider Name: JAVAD AGHALOO DDS A PROFESSIONAL CORPORATION

Doing Business As: SOUTHWEST DENTAL GROUP

Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
1502 S LA BRUCHERIE RD
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-5505
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JAVAD AGHALOO DDS A PROFESSIONAL CORPORATION is a dental public health dentist in El Centro, CA. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. JAVAD AGHALOO DDS A PROFESSIONAL CORPORATION NPI is 1245606789. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southwest Dental Group.

The provider's business location address is:

1502 S LA BRUCHERIE RD
EL CENTRO, CA
ZIP 92243-495
Phone: (760) 482-5505
Fax: (760) 482-5501

The provider's authorized official is Javad Sage Aghaloo .
The authorized official title is Owner and has the following contact phone number (760) 482-5505.

The enumeration date for this NPI number is 8/19/2015 and was last updated on 1/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public Health51184CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11245606789OTHERCALIFORNIADENTICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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