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Organization
ALISO NIGUEL DENTAL GROUP
Active
Organization
ALISO NIGUEL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHANG SHAHZADI DDS (OWNER/CEO)
(949) 292-2733
Entity
Organization
Contact information
Practice address
24541 PACIFIC PARK DR, STE 105, ALISO VIEJO, CA 92656
(949) 643-7047
(949) 643-7049
Mailing address
24541 PACIFIC PARK DR, STE 105, ALISO VIEJO, CA 92656
(949) 643-7047
(949) 643-7049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
033687
CA
122300000X
Dentist
47417
CA
122300000X
Dentist
52373
CA
Other
Enumeration date
07/10/2007
Last updated
11/07/2019
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