Organization
MEHRDOKHT MEHRVARZI DENTAL CORP.
Active
Other names
San Juan Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRDOKHT MEHRVARZI DDS (PRESIDENT)
(949) 240-6888
Entity
Organization
Contact information
Practice address
31952 CAMINO CAPISTRANO STE C14&C16, SAN JUAN CAPISTRANO, CA 92675-3229
(949) 240-6888
(949) 240-7653
Mailing address
31952 CAMINO CAPISTRANO STE C14&C16, SAN JUAN CAPISTRANO, CA 92675-3229
(949) 240-6888
(949) 240-7653
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
39184
CA
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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