Shiny Dental Prac | |
1916 N Tustin St Orange CA 92865 | |
(714) 282-9966 | |
(714) 282-9969 |
Full Name | Shiny Dental Prac |
---|---|
Speciality | Dentist - General Practice |
Location | 1916 N Tustin St, Orange, California |
Authorized Official Name and Position | Mohammad Amini (PRESIDENT/ DENTIST) |
Authorized Official Contact | 7142829966 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shiny Dental Prac 1916 N Tustin Ave. Orange CA 92865 Ph: (714) 282-9966 | Shiny Dental Prac 1916 N Tustin St Orange CA 92865 Ph: (714) 282-9966 |
NPI Number | 1831222611 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 03/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831222611 | NPI | - | NPPES |
G92861-01 | Other | CA | DENTI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | 47032 (California) | Primary |
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