Shahin Mahallati Dental Corp
NPI #1962043919 in San Clemente, California
Provider Information
- NPI Number
- 1962043919
- Entity Type
- Organization
- Organization Name
- Shahin Mahallati Dental Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 1, 2019
- Last Updated
- Nov 10, 2021
Practice Location
- Address
- 653 CAMINO DE LOS MARES STE 113
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-2856
- Phone
- (949) 248-7772
Authorized Official
- Name
- DR. SHAHIN MAHALLATI, DDS
- Title
- OWNER
- Phone
- (949) 248-7772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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