Individual
DR. AREZOU GOSHTASBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
22706 ASPAN ST, SUITE 602, LAKE FOREST, CA 92630-1603
(949) 716-7000
Mailing address
22706 ASPAN ST, SUITE 602, LAKE FOREST, CA 92630-1603
(949) 716-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41916
CA
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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