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Organization
PREMIER DENTAL IMPLANT CENTER
Active
Organization
PREMIER DENTAL IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARSHAD SAGHATCHI DDS (OWNER)
(949) 831-8100
Entity
Organization
Contact information
Practice address
25260 LA PAZ RD, SUITE I, LAGUNA HILLS, CA 92653-5132
(949) 831-8100
(949) 831-8100
Mailing address
25260 LA PAZ RD, SUITE I, LAGUNA HILLS, CA 92653-5132
(949) 831-8100
(949) 831-8100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45970
CA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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