| Avishan K. Nasiri, Dmd, Inc. | |
|
801 N Tustin Ave Ste 504 Santa Ana CA 92705-3609 | |
| (714) 550-0500 | |
| (714) 550-9560 |
| Full Name | Avishan K. Nasiri, Dmd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 N Tustin Ave Ste 504, Santa Ana, California |
| Authorized Official Name and Position | Avishan K. Nasiri (PRESIDENT/DENTIST) |
| Authorized Official Contact | 9499815601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avishan K. Nasiri, Dmd, Inc. 801 N Tustin Ave Ste 504 Santa Ana CA 92705-3609 Ph: (714) 550-0500 | Avishan K. Nasiri, Dmd, Inc. 801 N Tustin Ave Ste 504 Santa Ana CA 92705-3609 Ph: (714) 550-0500 |
| NPI Number | 1336683549 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336683549 | NPI | - | NPPES |
| 1902286552 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 64535 (California) | Primary |
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