Individual
ABDULHASSAN ALIAKBAR TAWOOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 S LINCOLN AVE STE 102, CORONA, CA 92882-3540
(951) 372-0440
(951) 372-0660
Mailing address
650 S LINCOLN AVE STE 102, CORONA, CA 92882-3540
(951) 372-0440
(951) 372-0660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027328
IL
1223G0001X
General Practice Dentistry
Primary
102569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102569
STATE ISSUED
CA
Enumeration date
10/09/2007
Last updated
03/16/2022
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