| Brilliant Smile Dental Group Of Mahshid Farhoumand Dds | |
|
23024 Lake Forest Dr Ste A Laguna Hills CA 92653-1328 | |
| (949) 716-7166 | |
| (949) 716-9191 |
| Full Name | Brilliant Smile Dental Group Of Mahshid Farhoumand Dds |
|---|---|
| Speciality | Dentist |
| Location | 23024 Lake Forest Dr, Laguna Hills, California |
| Authorized Official Name and Position | Mahshid Farhoumand (OWNER) |
| Authorized Official Contact | 9497167166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Smile Dental Group Of Mahshid Farhoumand Dds 23024 Lake Forest Dr Ste A Laguna Hills CA 92653-1328 Ph: (949) 716-7166 | Brilliant Smile Dental Group Of Mahshid Farhoumand Dds 23024 Lake Forest Dr Ste A Laguna Hills CA 92653-1328 Ph: (949) 716-7166 |
| NPI Number | 1912243098 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912243098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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