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Mona Mahmoodi DDS Inc

NPI 1154724763ActiveOrganization· Dentist, General Practice· Petaluma, CA

Dentist, General Practice in Petaluma, California, registered in NPPES in September 2014. The authorized official on file is Mona Mahmoodi, Dds/Dentist.

Overview

NPI1154724763
StatusActive
Entity typeOrganization
NPI issuedSep 28, 2014
Last updated in NPPESSep 28, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X62200CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Petaluma

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