Individual
DARA AHMADNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22855 LAKE FOREST DR STE B, LAKE FOREST, CA 92630-1647
(949) 583-1558
Mailing address
25652 PINTO CT, LAGUNA HILLS, CA 92653-5849
(949) 633-0170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110580
CA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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