Mohammad Shiraz Haider, DDS | |
20672 Lake Forest Dr, Lake Forest, CA 92630-7744 | |
(949) 302-9124 | |
Not Available |
Full Name | Mohammad Shiraz Haider |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 20672 Lake Forest Dr, Lake Forest, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134484900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 64017 (California) | Primary |
122300000X | Dentist | 30.023830 (Ohio) | Secondary |
Entity Name | Smile Works A Dental Group F Farukhi Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578941977 PECOS PAC ID: 4587912944 Enrollment ID: O20180801003907 |
Mailing Address | Practice Location Address |
---|---|
Mohammad Shiraz Haider, DDS 3116 E Woodbine Rd, Orange, CA 92867-2090 Ph: (949) 302-9124 | Mohammad Shiraz Haider, DDS 20672 Lake Forest Dr, Lake Forest, CA 92630-7744 Ph: (949) 302-9124 |
Ramin Khoshsar, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 26501 Rancho Pkwy S, Suite 202, Lake Forest, CA 92630 Phone: 949-273-8220 Fax: 949-273-8120 | |
Dr. William K Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 26741 Rancho Pkwy Ste 105-a, Lake Forest, CA 92630 Phone: 949-716-4892 | |
Dr. Gary C Jones, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630 Phone: 949-586-0270 Fax: 949-859-8446 | |
Dr. Mandeep Bal, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 24531 Trabuco Rd Ste H, Lake Forest, CA 92630 Phone: 949-855-3368 | |
Dr. Robin Arita, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 23321 El Toro Rd Ste C, Lake Forest, CA 92630 Phone: 949-916-9798 | |
Carolyn Elizabeth Castaneda Fassioli, Dentist Medicare: Not Enrolled in Medicare Practice Location: 22706 Aspan St Ste 602, Lake Forest, CA 92630 Phone: 949-716-7000 Fax: 949-716-0600 | |
Emaan Qureshi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 23704 El Toro Rd Ste A, Lake Forest, CA 92630 Phone: 949-770-9355 |