Organization
P KERMANSHAHI MONFARED A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARISA KERMANSHAHI MONFARED DMD (PEDIATRIC DENTIST)
(702) 403-9015
Entity
Organization
Contact information
Practice address
23642 ROCKFIELD BLVD STE 503, LAKE FOREST, CA 92630-1681
(949) 317-3367
Mailing address
23642 ROCKFIELD BLVD STE 503, LAKE FOREST, CA 92630-1681
(949) 317-3367
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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