Organization
ARIANNEJAD AND PHAM DENTAL CORPORATION
Active
Other names
La Mesa Modern Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHAB ARIANNEJAD DMD (OWNER)
(619) 324-4195
Entity
Organization
Contact information
Practice address
5620 LAKE MURRAY BLVD, LA MESA, CA 91942-1981
(619) 324-4195
(619) 560-5434
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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