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Organization

ABRISHAMI BASTI DENTAL CORPORATION

Active
Other names
TLC Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEPIDEH ABRISHAMI BASTI DDS (PRESIDENT)
(714) 897-8980
Entity
Organization

Contact information

Practice address
6552 BOLSA AVE STE Q, HUNTINGTON BEACH, CA 92647-2656
(714) 897-8980
Mailing address
6552 BOLSA AVE STE Q, HUNTINGTON BEACH, CA 92647-2656
(714) 897-8980

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/24/2020
Last updated
09/16/2020
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