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Organization

SHINY DENTAL PRAC.

Active
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Organization

SHINY DENTAL PRAC.

Active
Other names
AMINI DENTAL CORP.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD AMINI DDS (OWNER DENTIST)
(714) 282-9966
Entity
Organization

Contact information

Practice address
1916 N TUSTIN ST, ORANGE, CA 92865-4644
(714) 282-9966
(714) 282-9969
Mailing address
1916 N TUSTIN ST, ORANGE, CA 92865-4644
(714) 282-9966
(714) 282-9969

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
779531
UNITED CONCORDIA
CA
01
B4703201
HEALTHY FAMILY-HFP
CA
01
G9286101
DENTICAL
CA
Enumeration date
03/21/2007
Last updated
08/22/2020
About Stedi
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  • Eligibility checks
  • EDI platform