Individual
DR. ALI FORGHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 W BROADWAY, PATERSON, NJ 07505-1014
(973) 684-3803
Mailing address
744 S CAMINO GRANDE, ANAHEIM, CA 92807-4920
(714) 381-4291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DI02618100
NJ
1223E0200X
Endodontics
Primary
059134
NY
1223E0200X
Endodontics
105662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105662
N/A
CA
Enumeration date
09/18/2015
Last updated
04/12/2021
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