Organization
DR AFZALIS LAKE FOREST LIFETIME DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZADEH M AFZALI DDS (PRESIDENT)
(949) 581-8108
Entity
Organization
Contact information
Practice address
23731 EL TORO RD STE D, LAKE FOREST, CA 92630-8615
(949) 581-8108
Mailing address
23731 EL TORO RD STE D, LAKE FOREST, CA 92630-8615
(949) 581-8108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55014
CA
Other
Enumeration date
02/24/2015
Last updated
08/09/2018
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