| NPI | 1023523784 |
|---|---|
| Doing Business As | ALISO CREEK DENAL |
| Entity Type | Organization |
| Authorized Contact | TONY BEIZAEE Dentist 949-362-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 60128) |
| 1223G0001X Dentist, General Practice (Licence: CA 53269) | |
| 1223P0300X Dentist, Periodontics (Licence: 49607) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2023-12-13 |