Individual
MRS. ROYA NEMATOLLAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14122 RED HILL AVE, TUSTIN, CA 92780
(714) 544-8338
(714) 573-1062
Mailing address
14122 RED HILL AVE, TUSTIN, CA 92780-5834
(714) 544-8338
(714) 573-1062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
54181
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
54181
CA
Other
Enumeration date
10/31/2007
Last updated
06/14/2018
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