Individual
DR. MIRWAIS HUSSAINY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 MACARTHUR PL STE 700, SANTA ANA, CA 92707-7705
(714) 708-5361
Mailing address
2607 MOUNDGLEN LN, SPRING VALLEY, CA 91977-6737
(310) 920-1444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52401
CA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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