Organization
AMINI DENTAL CORPORATION
Active
Parent organization
AMINI DENTAL CORPORATION
Other names
Shiny Dental Prac
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMINI DENTAL CORPORATION
Authorized official
MR. MOHAMMAD AMINI DDS (PRESIDENT/ DENTIST)
(714) 282-9966
Entity
Organization
Contact information
Practice address
1916 N TUSTIN ST, ORANGE, CA 92865
(714) 282-9966
(714) 282-9969
Mailing address
1916 N TUSTIN AVE., ORANGE, CA 92865
(714) 282-9966
(714) 282-9969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47032
CA
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92861-01
DENTI-CAL
CA
Enumeration date
03/13/2007
Last updated
03/18/2015
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