| Farhad Mazi, Dds, A Professional Corporation | |
|
19190 Us Highway 18 Suite A Apple Valley CA 92307-2558 | |
| (760) 242-7753 | |
| (760) 946-1122 |
| Full Name | Farhad Mazi, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19190 Us Highway 18, Apple Valley, California |
| Authorized Official Name and Position | Farhad Mazi (PRESIDENT DENTIST) |
| Authorized Official Contact | 7602427753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farhad Mazi, Dds, A Professional Corporation 19190 Us Highway 18 Suite A Apple Valley CA 92307-2558 Ph: (760) 242-7753 | Farhad Mazi, Dds, A Professional Corporation 19190 Us Highway 18 Suite A Apple Valley CA 92307-2558 Ph: (760) 242-7753 |
| NPI Number | 1063543577 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063543577 | NPI | - | NPPES |
| G89141-01 | Medicaid | CA | |
| G92354-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48832 (California) | Primary |
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