Organization
MANA KAFAEI DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANA KAFAEI DDS (PRESIDENT)
(650) 839-3526
Entity
Organization
Contact information
Practice address
15390 FAIRFIELD RANCH RD STE E, CHINO HILLS, CA 91709-8854
(909) 606-6336
Mailing address
12420 BUTLER WAY, TUSTIN, CA 92782-1143
(650) 839-3526
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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