Azita S. Ebrahimi Dds Inc

NPI 1114257235 - Clinic/Center - 261QD0000X

NPI Details
NPI 1114257235
Enumeration Date 01/12/2010
Last Updated 01/12/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name AZITA SHEILA AZITA
Position OWNER, PRESIDENT
Phone (949) 276-2990
Fax
Practice Location
25662 CROWN VALLEY PKWY STE H4
LADERA RANCH CA, 92694-0486, US
Phone (949) 276-2990
Fax
Business Location
25662 CROWN VALLEY PKWY STE H4
LADERA RANCH CA, 92694-0486, US
Phone (949) 276-2990
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State California
License Number 52505
Remove 1114257235 NPI Number
 

According to our database, Azita S. Ebrahimi Dds Inc NPI is 1114257235, taxonomy code is 261QD0000X and license number is 52505, license state is located at California. Azita S. Ebrahimi Dds Inc physically located at 25662 Crown Valley Pkwy Ste H4, Ladera Ranch CA, 92694-0486. NPI Number 1033115704 has the healthcare provider type.

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1114257235 NPI number is provided on an as is basis without warranty of any kind. 1114257235 is maintained by the National Plan & Provider Enumeration System. The contents of Azita S. Ebrahimi Dds Inc are for informational purposes only.