Individual
DR. SHIVA ROGHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13420 NEWPORT AVE, SUITE B, TUSTIN, CA 92780-3745
(714) 832-1343
Mailing address
13420 NEWPORT AVE, SUITE B, TUSTIN, CA 92780-3745
(714) 832-1343
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42766
CA
Other
Enumeration date
10/15/2007
Last updated
08/17/2011
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