| Lili Mirtorabi, D.d.s., A Professional Corporation | |
|
2030 N Tustin Ave Santa Ana CA 92705-7827 | |
| (714) 547-6019 | |
| (714) 547-3152 |
| Full Name | Lili Mirtorabi, D.d.s., A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2030 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | Lili Mirtorabi (SUPERVISOR) |
| Authorized Official Contact | 3235893438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lili Mirtorabi, D.d.s., A Professional Corporation 2030 N Tustin Ave Santa Ana CA 92705-7827 Ph: (714) 547-6019 | Lili Mirtorabi, D.d.s., A Professional Corporation 2030 N Tustin Ave Santa Ana CA 92705-7827 Ph: (714) 547-6019 |
| NPI Number | 1497955363 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497955363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (California) | Primary |
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