Individual
ANOOSHEH MAZHARI-KHORSHIDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4968 BOOTH CIR STE 109, IRVINE, CA 92604-3370
(949) 825-5354
Mailing address
4968 BOOTH CIR STE 109, IRVINE, CA 92604-3370
(949) 825-5354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901019836
MI
1223G0001X
General Practice Dentistry
Primary
59142
CA
Other
Enumeration date
07/07/2008
Last updated
04/13/2018
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