Organization
ASAL SHIRAZI DMD, INC.
Active
Other names
Fullerton Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASAL SAHAR KOHANDEL-SHIRAZI D.M.D. (OWNER DENTIST)
(714) 870-2000
Entity
Organization
Contact information
Practice address
170 N RAYMOND AVE, FULLERTON, CA 92831-4610
(714) 870-2000
Mailing address
170 N RAYMOND AVE, FULLERTON, CA 92831-4610
(714) 870-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56123
CA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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