Organization
ALI MANOUCHEHRI DDS APC
Active
Other names
Tri-City Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MANOUCHEHRI DDS (PRESIDENT)
(760) 724-1102
Entity
Organization
Contact information
Practice address
3230 WARING CT, SUITE Q, OCEANSIDE, CA 92056-4509
(760) 724-1102
Mailing address
31 CUERVO DR, ALISO VIEJO, CA 92656-1741
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
49934
CA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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