Dr Afzalis Lake Forest Lifetime Dental Group Pc | |
23731 El Toro Rd Ste D Lake Forest CA 92630-8615 | |
(949) 581-8108 | |
Not Available |
Full Name | Dr Afzalis Lake Forest Lifetime Dental Group Pc |
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Speciality | Dentist |
Location | 23731 El Toro Rd Ste D, Lake Forest, California |
Authorized Official Name and Position | Azadeh M Afzali (PRESIDENT) |
Authorized Official Contact | 9495818108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Afzalis Lake Forest Lifetime Dental Group Pc 23731 El Toro Rd Ste D Lake Forest CA 92630-8615 Ph: (949) 581-8108 | Dr Afzalis Lake Forest Lifetime Dental Group Pc 23731 El Toro Rd Ste D Lake Forest CA 92630-8615 Ph: (949) 581-8108 |
NPI Number | 1093107377 |
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Provider Enumeration Date | 02/24/2015 |
Last Update Date | 08/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093107377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 55014 (California) | Primary |
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