# AMINI DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMINIDENTALCORP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316368517
- **Authorized official:** MOHAMMAD JOHN AMINI (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (949) 333-3333

## Contact information

- **Practice address:** 14130 CULVER DR, SUITE \#I, IRVINE, CA 92604-0314
- **Practice address phone:** (949) 333-3333
- **Practice address fax:** (949) 726-0790
- **Mailing address:** 14130 CULVER DR, SUITE \#I, IRVINE, CA 92604-0314
- **Mailing address phone:** (949) 333-3333
- **Mailing address fax:** (949) 726-0790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 47032 | CA | Yes |

## Other

- **Enumeration date:** 12/16/2013
- **Last updated:** 11/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1033229828 | PERSONAL | CA |
| 01 | — | 1831222611 | DENTICAL | CA |