MEHRDOKHT MEHRVARZI DENTAL CORP. NPI 1407196587

NPI Information

NPI: 1407196587
Provider Name: MEHRDOKHT MEHRVARZI DENTAL CORP.

Doing Business As: SAN JUAN FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
31952 CAMINO CAPISTRANO STE C14&C16
SAN JUAN CAPISTRANO, CA
ZIP 92675
Phone: (949) 240-6888
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MEHRDOKHT MEHRVARZI DENTAL CORP. is a dental clinic center in San Juan Capistrano, CA. MEHRDOKHT MEHRVARZI DENTAL CORP. NPI is 1407196587. The provider is registered as an organization entity type.
The provider Is Doing Business As San Juan Family Dentistry.

The provider's business location address is:

31952 CAMINO CAPISTRANO STE C14&C16
SAN JUAN CAPISTRANO, CA
ZIP 92675-229
Phone: (949) 240-6888
Fax: (949) 240-7653

The provider's authorized official is Mehrdokht Mehrvarzi .
The authorized official title is President and has the following contact phone number (949) 240-6888.

The enumeration date for this NPI number is 2/26/2013 and was last updated on 2/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	39184	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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