Shiva Roghani DDS

NPI 1083803183 - Dentist - 1223P0221X

NPI Details
NPI 1083803183
Gender Female
Enumeration Date 10/15/2007
Last Updated 08/17/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
13420 NEWPORT AVE
SUITE B
TUSTIN CA, 92780-3745, US
Phone (714) 832-1343
Fax
Business Location
13420 NEWPORT AVE
SUITE B
TUSTIN CA, 92780-3745, US
Phone (714) 832-1343
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State California
License Number 42766
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According to our database, Dr. Shiva Roghani DDS NPI is 1083803183, taxonomy code is 1223P0221X and license number is 42766, license state is located at California. Shiva Roghani DDS physically located at 13420 Newport Ave, Tustin CA, 92780-3745. NPI Number Shiva Roghani DDS has the Individual type.

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1083803183 NPI number is provided on an as is basis without warranty of any kind. 1083803183 is maintained by the National Plan & Provider Enumeration System. The contents of Shiva Roghani DDS are for informational purposes only.