# DR. KERMANI DDS PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alton Implant & Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982362091
- **Authorized official:** DR. GHAZAL S KERMANI DDS (MANAGER/OWNER)
- **Authorized official phone:** (949) 701-5320

## Contact information

- **Practice address:** 5405 ALTON PKWY STE F, IRVINE, CA 92604-3719
- **Practice address phone:** (949) 262-0300
- **Mailing address:** 5405 ALTON PKWY STE F, IRVINE, CA 92604-3719
- **Mailing address phone:** (949) 262-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2021
- **Last updated:** 03/01/2022