| Aava Dental Of Foothill Ranch | |
|
27462 Portola Pkwy Ste 205 Foothill Ranch CA 92610-2838 | |
| (817) 529-8151 | |
| (817) 529-8156 |
| Full Name | Aava Dental Of Foothill Ranch |
|---|---|
| Speciality | Dentist |
| Location | 27462 Portola Pkwy, Foothill Ranch, California |
| Authorized Official Name and Position | Yahya Mansour (OWNER) |
| Authorized Official Contact | 8175298151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aava Dental Of Foothill Ranch 27462 Portola Pkwy Ste 205 Foothill Ranch CA 92610-2838 Ph: (817) 529-8151 | Aava Dental Of Foothill Ranch 27462 Portola Pkwy Ste 205 Foothill Ranch CA 92610-2838 Ph: (817) 529-8151 |
| NPI Number | 1679906895 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 08/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679906895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58012 (California) | Primary |
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