Maryam Ekhtiar D.D.S.

NPI 1093928632 - Dentist - 122300000X

NPI Details
NPI 1093928632
Gender Female
Enumeration Date 05/08/2007
Last Updated 12/10/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
31897 DEL OBISPO ST
SUITE 100
SAN JUAN CAPISTRANO CA, 92675-3207, US
Phone (949) 487-0284
Fax (949) 487-0294
Business Location
31897 DEL OBISPO ST
SUITE 100
SAN JUAN CAPISTRANO CA, 92675-3207, US
Phone (949) 487-0284
Fax (949) 487-0294
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 50905
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According to our database, Dr. Maryam Ekhtiar D.D.S. NPI is 1093928632, taxonomy code is 122300000X and license number is 50905, license state is located at California. Maryam Ekhtiar D.D.S. physically located at 31897 Del Obispo St, San Juan Capistrano CA, 92675-3207. NPI Number Maryam Ekhtiar D.D.S. has the Individual type.

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1093928632 NPI number is provided on an as is basis without warranty of any kind. 1093928632 is maintained by the National Plan & Provider Enumeration System. The contents of Maryam Ekhtiar D.D.S. are for informational purposes only.