| Reza M. Birjandi D.d.s.,a Professional Dental Corporation | |
|
15 Mareblu Suite 360 Aliso Viejo CA 92656 | |
| (949) 360-9700 | |
| (949) 362-5182 |
| Full Name | Reza M. Birjandi D.d.s.,a Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 15 Mareblu Suite 360, Aliso Viejo, California |
| Authorized Official Name and Position | Esbeidy Lomeli (OFFICE MANAGER) |
| Authorized Official Contact | 9513233750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reza M. Birjandi D.d.s.,a Professional Dental Corporation 27066 South La Paz Road Aliso Viejo CA 92656-3041 Ph: (949) 360-9700 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation 15 Mareblu Suite 360 Aliso Viejo CA 92656 Ph: (949) 360-9700 |
| NPI Number | 1215350467 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 09/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215350467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38259 (* (Not Available)) | Primary |
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