Individual
DR. NAS SEDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24102 EL TORO RD STE A, LAGUNA WOODS, CA 92637-3123
(949) 830-6510
Mailing address
24102 EL TORO RD STE A, LAGUNA WOODS, CA 92637-3123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
055232
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1001955
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
103573
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
P65488
NY
Other
Enumeration date
05/01/2009
Last updated
05/25/2021
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