Denteractive Solutions Inc.

NPI #1265187975 in Lake Forest, California

Provider Information

NPI Number: 1265187975
Entity Type: Organization
Organization Name: Denteractive Solutions Inc.
Primary Specialty: Dentist
Enumeration Date: Feb 21, 2022
Last Updated: Feb 21, 2022

Practice Location

Address: 22982 EL TORO RD STE 100
City: Lake Forest
State: California
ZIP Code: 92630-4919
Phone: (949) 305-0202

Authorized Official

Name: DR. REZA IZADI, DDS
Title: CEO
Phone: (949) 290-6950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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