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Organization

SHERVIN AHMADNIA DDS INC

Active
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Organization

SHERVIN AHMADNIA DDS INC

Active
Other names
forest family dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHERVIN AHMADNIA DDS (OWNER)
(949) 583-1558
Entity
Organization

Contact information

Practice address
22855 LAKE FOREST DR, SUITE B, LAKE FOREST, CA 92630-1656
(949) 583-1558
Mailing address
22855 LAKE FOREST DR, SUITE B, LAKE FOREST, CA 92630-1656
(949) 583-1558

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36331
CA

Other

Enumeration date
12/03/2007
Last updated
12/03/2007
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