Organization
MIKAEYA KALANTARI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAEYA KALANTARI DDS (CEO)
(913) 669-8219
Entity
Organization
Contact information
Practice address
27725 SANTA MARGARITA PKWY STE 270, MISSION VIEJO, CA 92691-6708
(949) 951-0951
Mailing address
27725 SANTA MARGARITA PKWY STE 270, MISSION VIEJO, CA 92691-6708
(949) 951-0951
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
CA
Other
Enumeration date
08/28/2018
Last updated
04/21/2020
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