| NPI | 1851584718 |
|---|---|
| Doing Business As | ALISO PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | FOROUZAN YAVARI Dentist 949-362-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44558) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2021-05-20 |