Organization
AAVA DENTAL OF FOOTHILL RANCH A MANSOUR DENTAL GROUP INC RODEO MANAGEM
Active
Other names
AAVA DENTAL OF FOOTHILL RANCH
Organization subpart
No
Provider details
NPI number
Authorized official
YAHYA MANSOUR DDS (OWNER)
(817) 529-8151
Entity
Organization
Contact information
Practice address
27462 PORTOLA PKWY, STE 205, FOOTHILL RANCH, CA 92610-2838
(817) 529-8151
(817) 529-8156
Mailing address
27462 PORTOLA PKWY, STE 205, FOOTHILL RANCH, CA 92610-2838
(817) 529-8151
(817) 529-8156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58012
CA
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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