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Organization

ASCARZADEH DENTAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GHOLAMABBAS ASCARZADEH DMD (PRESIDENT/OWNER)
(205) 515-6666
Entity
Organization

Contact information

Practice address
13771 NEWPORT AVE STE 11, TUSTIN, CA 92780-4692
(205) 515-6666
Mailing address
PO BOX 61954, IRVINE, CA 92602-6065
(205) 515-6666

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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