Azita S. Ebrahimi DDS INC
NPI #1114257235 in Ladera Ranch, California
Provider Information
- NPI Number
- 1114257235
- Entity Type
- Organization
- Organization Name
- Azita S. Ebrahimi DDS INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 12, 2010
- Last Updated
- Jan 12, 2010
Practice Location
- Address
- 25662 CROWN VALLEY PKWY STE H4
- City
- Ladera Ranch
- State
- California
- ZIP Code
- 92694-0486
- Phone
- (949) 276-2990
Authorized Official
- Name
- DR. AZITA SHEILA EBRAHIMI, DDS
- Title
- OWNER, PRESIDENT
- Phone
- (949) 276-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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