Individual
SHAHNAZ BONYANPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
62 CORPORATE PARK, SUITE 135, IRVINE, CA 92606-3122
(949) 252-9950
(949) 252-9959
Mailing address
62 CORPORATE PARK, SUITE 135, IRVINE, CA 92606-3122
(949) 252-9950
(949) 252-9959
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
44292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9298501
DENTICAL
CA
Enumeration date
09/26/2006
Last updated
08/23/2007
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