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Organization
PREMIER DENTAL
Active
Organization
PREMIER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR H SADJADI (PRINCIPAL)
(310) 488-7163
Entity
Organization
Contact information
Practice address
15892 PASADENA AVE, TUSTIN, CA 92780-5415
(714) 573-7100
Mailing address
93 DUET, IRVINE, CA 92603-4215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52313
CA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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