Individual
ATOUSA FARAHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3580 GRAND AVE STE K, CHINO HILLS, CA 91709-5401
(909) 548-6900
Mailing address
3 RAVENSRIDGE, TRABUCO CANYON, CA 92679-3812
(949) 306-7677
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
057199-1
NY
1223P0221X
Pediatric Dentistry
Primary
64942
CA
Other
Enumeration date
04/30/2013
Last updated
07/21/2022
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