Individual
PARISA KERMANSHAHI-MONFARED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
320 SYCAMORE AVE STE 60, VISTA, CA 92083-7797
(760) 945-6043
Mailing address
26 ARCADE, IRVINE, CA 92603-0120
(702) 403-9015
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60719
CA
Other
Enumeration date
09/02/2010
Last updated
07/16/2014
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