Organization
ALICIA PKWY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT G FARZIN DDS (OWNER)
(949) 587-3010
Entity
Organization
Contact information
Practice address
25401 ALICIA PKWY STE J, LAGUNA HILLS, CA 92653-4958
(949) 587-3010
(949) 215-3757
Mailing address
25401 ALICIA PKWY STE J, LAGUNA HILLS, CA 92653-4958
(949) 587-3010
(949) 215-3757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53595
CA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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