Organization
AMITISS NASIRI ANSARI DDS, INC.
Active
Other names
South Coast Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMITISS NASIRI DDS (DDS/OWNER)
(714) 556-7277
Entity
Organization
Contact information
Practice address
2781 W MACARTHUR BLVD, SUITE N, SANTA ANA, CA 92704-8300
(714) 556-7277
(714) 556-2021
Mailing address
2781 W MACARTHUR BLVD, SUITE N, SANTA ANA, CA 92704-8300
(714) 556-7277
(714) 556-2021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55817
CA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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