Individual
JAMILEH TAJ SHIRALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS , DMD
Contact information
Practice address
25662 AURORA WAY, MISSION VIEJO, CA 92691-4619
(714) 403-2703
Mailing address
25662 AURORA WAY, MISSION VIEJO, CA 92691-4619
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
05/01/2023
Last updated
05/17/2023
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