| Basti Dental Corporation | |
|
27871 Medical Center Rd Ste 180 Mission Viejo CA 92691-6463 | |
| (949) 347-0780 | |
| (949) 347-9549 |
| Full Name | Basti Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 27871 Medical Center Rd Ste 180, Mission Viejo, California |
| Authorized Official Name and Position | Alireza Basti (PRESIDENT) |
| Authorized Official Contact | 9493470780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basti Dental Corporation 27871 Medical Center Rd Ste 180 Mission Viejo CA 92691-6463 Ph: (949) 347-0780 | Basti Dental Corporation 27871 Medical Center Rd Ste 180 Mission Viejo CA 92691-6463 Ph: (949) 347-0780 |
| NPI Number | 1063613768 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063613768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49841 (California) | Primary |
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