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Organization
MIRZAEI DENTAL CORPORATION
Active
Organization
MIRZAEI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAY MIRZAEI (DDS)
(805) 914-4495
Entity
Organization
Contact information
Practice address
1353 W MILL ST STE 114, SAN BERNARDINO, CA 92410-2224
(805) 914-4495
Mailing address
37 MIRADOR, IRVINE, CA 92612-2979
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
126900000X
Dental Laboratory Technician
—
—
Other
Enumeration date
11/16/2024
Last updated
11/16/2024
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