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Organization
ABRISHAMI BASTI DENTAL CORPORATION
Active
Organization
ABRISHAMI BASTI DENTAL CORPORATION
Active
Other names
TLC Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEPIDEH ABRISHAMI BASTI DDS (PRESIDENT)
(714) 897-8980
Entity
Organization
Contact information
Practice address
6552 BOLSA AVE STE Q, HUNTINGTON BEACH, CA 92647-2656
(714) 897-8980
Mailing address
6552 BOLSA AVE STE Q, HUNTINGTON BEACH, CA 92647-2656
(714) 897-8980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
09/16/2020
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