Tarsa Hatefi Ahmadnia, DDS

NPI #1457784050 in Lake Forest, California

Provider Information

NPI Number: 1457784050
Entity Type: Individual
Name: Tarsa Hatefi Ahmadnia, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 19, 2013
Last Updated: Feb 11, 2020

Practice Location

Address: 22855 LAKE FOREST DRIVE SUITE B
City: Lake Forest
State: California
ZIP Code: 92630
Phone: (949) 583-1558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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