Organization
SHIVA ROGHANI DDS, INC
Active
Other names
Kid Friendly Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA TORRES (OFFICE MANAGER)
(714) 832-1343
Entity
Organization
Contact information
Practice address
13420 NEWPORT AVE STE B, TUSTIN, CA 92780-3745
(714) 832-1343
(714) 838-8065
Mailing address
13420 NEWPORT AVE STE B, TUSTIN, CA 92780-3745
(714) 832-1343
(714) 838-8065
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42766
CA
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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