KATHY MORTAZAVI

LAKE FOREST, CA
NPI1851532626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  54883)
Enumeration Date2009-03-09
Last Update Date2010-12-25
Business Address
-- KATHY MORTAZAVI dds
24401 MUIRLANDS BLVD
LAKE FOREST, CA 92630-3948
Phone number: 949-257-5152
Mailing Address
-- KATHY MORTAZAVI dds
13 HIGHPOINT
TRABUCO CANYON, CA 92679-3419
Phone number: 949-257-5152
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