| K. Soleimani Dental Corp | |
|
26711 Aliso Creek Rd Ste 200b Aliso Viejo CA 92656-4822 | |
| (949) 680-4001 | |
| Not Available |
| Full Name | K. Soleimani Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 26711 Aliso Creek Rd Ste 200b, Aliso Viejo, California |
| Authorized Official Name and Position | Katayoun Soleimani (PRESIDENT) |
| Authorized Official Contact | 9492801455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K. Soleimani Dental Corp 26711 Aliso Creek Rd Ste 200b Aliso Viejo CA 92656-4822 Ph: () - | K. Soleimani Dental Corp 26711 Aliso Creek Rd Ste 200b Aliso Viejo CA 92656-4822 Ph: (949) 680-4001 |
| NPI Number | 1962943225 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 2860768405 |
|---|---|
| Medicare Enrollment ID | O20171025002958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962943225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47320 (California) | Primary |
| Provider Name | Katayoun Soleimani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902015803 PECOS PAC ID: 3779859319 Enrollment ID: I20171025003142 |
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