| Mikaeya Kalantari Dental Corporation | |
|
27725 Santa Margarita Pkwy Ste 270 Mission Viejo CA 92691-6708 | |
| (949) 951-0951 | |
| Not Available |
| Full Name | Mikaeya Kalantari Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 27725 Santa Margarita Pkwy Ste 270, Mission Viejo, California |
| Authorized Official Name and Position | Mikaeya Kalantari (CEO) |
| Authorized Official Contact | 9136698219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikaeya Kalantari Dental Corporation 27725 Santa Margarita Pkwy Ste 270 Mission Viejo CA 92691-6708 Ph: (949) 951-0951 | Mikaeya Kalantari Dental Corporation 27725 Santa Margarita Pkwy Ste 270 Mission Viejo CA 92691-6708 Ph: (949) 951-0951 |
| NPI Number | 1124509989 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124509989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (California) | Primary |
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