Shokouh Ansari, DMD
NPI #1750641726 in San Juan Capistrano, California
Provider Information
- NPI Number
- 1750641726
- Entity Type
- Individual
- Name
- Shokouh Ansari, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- May 23, 2012
- Last Updated
- May 23, 2012
Practice Location
- Address
- 32122 PASEO ADELANTO STE 1B
- State
- California
- ZIP Code
- 92675-3605
- Phone
- (949) 493-6166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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