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Organization
SHAHRIYARPOUR AND SHAFAEE DENTAL PRACTICE INC.
Active
Organization
SHAHRIYARPOUR AND SHAFAEE DENTAL PRACTICE INC.
Active
Other names
Barranca Canyon Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIRA SHAFAEE D.D.S. (OWNER DENTIST)
(949) 654-4654
Entity
Organization
Contact information
Practice address
15785 LAGUNA CANYON RD, SUITE #270, IRVINE, CA 92618-3165
(949) 654-4654
(949) 654-4645
Mailing address
15785 LAGUNA CANYON RD, SUITE #270, IRVINE, CA 92618-3165
(949) 654-4654
(949) 654-4645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49212
CA
Other
Enumeration date
03/10/2008
Last updated
02/14/2012
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