Organization
AMINI DENTAL CORPORATION
Active
Other names
AMINIDENTALCORP
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD JOHN AMINI (AUTHORIZED OFFICIAL)
(949) 333-3333
Entity
Organization
Contact information
Practice address
14130 CULVER DR, SUITE #I, IRVINE, CA 92604-0314
(949) 333-3333
(949) 726-0790
Mailing address
14130 CULVER DR, SUITE #I, IRVINE, CA 92604-0314
(949) 333-3333
(949) 726-0790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033229828
PERSONAL
CA
01
—
1831222611
DENTICAL
CA
Enumeration date
12/16/2013
Last updated
11/14/2019
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