| Forest Family Dentistry | |
|
22855 Lake Forest Dr Suite B Lake Forest CA 92630-1656 | |
| (949) 583-1558 | |
| Not Available |
| Full Name | Forest Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22855 Lake Forest Dr, Lake Forest, California |
| Authorized Official Name and Position | Shervin Ahmadnia (OWNER) |
| Authorized Official Contact | 9495831558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Family Dentistry 22855 Lake Forest Dr Suite B Lake Forest CA 92630-1656 Ph: (949) 583-1558 | Forest Family Dentistry 22855 Lake Forest Dr Suite B Lake Forest CA 92630-1656 Ph: (949) 583-1558 |
| NPI Number | 1295917144 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295917144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36331 (California) | Primary |
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