Organization
AVISHAN K. NASIRI, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVISHAN K. NASIRI DMD (PRESIDENT/DENTIST)
(949) 981-5601
Entity
Organization
Contact information
Practice address
801 N TUSTIN AVE STE 504, SANTA ANA, CA 92705-3609
(714) 550-0500
(714) 550-9560
Mailing address
801 N TUSTIN AVE STE 504, SANTA ANA, CA 92705-3609
(714) 550-0500
(714) 550-9560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902286552
DENTI-CAL
CA
Enumeration date
12/06/2016
Last updated
12/06/2016
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