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Organization
MEHRDOKHT MEHRVARZI DENTAL CORP.
Active
Organization
MEHRDOKHT MEHRVARZI DENTAL CORP.
Active
Other names
San Juan Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRDOKHT MEHRVARZI DDS (PRESIDENT)
(949) 240-6888
Entity
Organization
Contact information
Practice address
31952 CAMINO CAPISTRANO STE C14&C16, SAN JUAN CAPISTRANO, CA 92675-3229
(949) 240-6888
(949) 240-7653
Mailing address
31952 CAMINO CAPISTRANO STE C14&C16, SAN JUAN CAPISTRANO, CA 92675-3229
(949) 240-6888
(949) 240-7653
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
39184
CA
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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