Organization
BASTI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIREZA BASTI D.D.S (PRESIDENT)
(949) 347-0780
Entity
Organization
Contact information
Practice address
27871 MEDICAL CENTER RD STE 180, MISSION VIEJO, CA 92691-6463
(949) 347-0780
(949) 347-9549
Mailing address
27871 MEDICAL CENTER RD STE 180, MISSION VIEJO, CA 92691-6463
(949) 347-0780
(949) 347-9549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49841
CA
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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