Individual
DR. SCHAHROKH FATEHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
25411 CABOT RD, SUITE #108, LAGUNA HILLS, CA 92653-5520
(949) 472-3737
(949) 472-3667
Mailing address
25411 CABOT RD, SUITE #108, LAGUNA HILLS, CA 92653-5520
(949) 472-3737
(949) 472-3667
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
41725
CA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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