| Meshia Azad D.d.s. | |
|
22855 Lake Forest Dr Ste D Lake Forest CA 92630-1647 | |
| (949) 458-0393 | |
| (949) 458-0607 |
| Full Name | Meshia Azad D.d.s. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 22855 Lake Forest Dr Ste D, Lake Forest, California |
| Authorized Official Name and Position | Meshia Azad (D.D.S.) |
| Authorized Official Contact | 9494580393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meshia Azad D.d.s. 22855 Lake Forest Dr Ste D Lake Forest CA 92630-1647 Ph: (949) 458-0393 | Meshia Azad D.d.s. 22855 Lake Forest Dr Ste D Lake Forest CA 92630-1647 Ph: (949) 458-0393 |
| NPI Number | 1295241164 |
|---|---|
| Provider Enumeration Date | 12/14/2017 |
| Last Update Date | 12/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295241164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 41814 (California) | Primary |
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