| Aminidentalcorp | |
|
14130 Culver Dr Suite #i Irvine CA 92604-0314 | |
| (949) 333-3333 | |
| (949) 726-0790 |
| Full Name | Aminidentalcorp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14130 Culver Dr, Irvine, California |
| Authorized Official Name and Position | Mohammad John Amini (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9493333333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aminidentalcorp 14130 Culver Dr Suite #i Irvine CA 92604-0314 Ph: (949) 333-3333 | Aminidentalcorp 14130 Culver Dr Suite #i Irvine CA 92604-0314 Ph: (949) 333-3333 |
| NPI Number | 1316368517 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316368517 | NPI | - | NPPES |
| 1033229828 | Other | CA | PERSONAL |
| 1831222611 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47032 (California) | Primary |
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