Dr Afzalis Lake Forest Lifetime Dental Group PC

NPI #1093107377 in Lake Forest, California

Provider Information

NPI Number: 1093107377
Entity Type: Organization
Organization Name: Dr Afzalis Lake Forest Lifetime Dental Group PC
Primary Specialty: Dentist
Enumeration Date: Feb 24, 2015
Last Updated: Aug 9, 2018

Practice Location

Address: 23731 EL TORO RD STE D
City: Lake Forest
State: California
ZIP Code: 92630-8615
Phone: (949) 581-8108

Authorized Official

Name: DR. AZADEH M AFZALI, DDS
Title: PRESIDENT
Phone: (949) 581-8108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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