Organization
FROOZ FATOORACHI,DDS,APC
Active
Other names
ACCESS CHILDREN'S DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
FROOZ FATOORACHI-KORSAND (PRESIDENT)
(760) 732-3100
Entity
Organization
Contact information
Practice address
1944 VIA CTR, VISTA, CA 92081-6056
(760) 732-3100
(760) 732-3201
Mailing address
1944 VIA CTR, VISTA, CA 92081-6056
(760) 732-3100
(760) 732-3201
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
41405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
976622
UNITED CONCORDIA PROVIDER
CA
01
—
G92986-01
DENTICAL GROUP #
CA
Enumeration date
01/22/2007
Last updated
12/22/2021
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