Individual
SARA JAHANGIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2145 CHANDLER DR, TUSTIN, CA 92782-1135
(714) 249-5555
Mailing address
2145 CHANDLER DR, TUSTIN, CA 92782-1135
(714) 249-5555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
106811
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2020
Last updated
07/29/2024
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