# ALISO NIGUEL DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881892966
- **Authorized official:** DR. FARHANG SHAHZADI DDS (OWNER/CEO)
- **Authorized official phone:** (949) 292-2733

## Contact information

- **Practice address:** 24541 PACIFIC PARK DR, STE 105, ALISO VIEJO, CA 92656
- **Practice address phone:** (949) 643-7047
- **Practice address fax:** (949) 643-7049
- **Mailing address:** 24541 PACIFIC PARK DR, STE 105, ALISO VIEJO, CA 92656
- **Mailing address phone:** (949) 643-7047
- **Mailing address fax:** (949) 643-7049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 033687 | CA | Yes |
| 122300000X | Dentist | 47417 | CA | — |
| 122300000X | Dentist | 52373 | CA | — |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 11/07/2019