| Nasrin Khajeh Dmd, Inc. | |
| 
					2530 Bryan Ave Ste E Tustin CA 92782-8916  | |
| (714) 508-8080 | |
| (714) 508-8080 | 
| Full Name | Nasrin Khajeh Dmd, Inc. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 2530 Bryan Ave Ste E, Tustin, California | 
| Authorized Official Name and Position | Nasrin Khajeh (DENTIST/PRESIDENT) | 
| Authorized Official Contact | 7145088080 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nasrin Khajeh Dmd, Inc. 2530 Bryan Ave Ste E Tustin CA 92782-8916 Ph: (714) 508-8080  | Nasrin Khajeh Dmd, Inc. 2530 Bryan Ave Ste E Tustin CA 92782-8916 Ph: (714) 508-8080  | 
| NPI Number | 1265058176 | 
|---|---|
| Provider Enumeration Date | 06/17/2020 | 
| Last Update Date | 11/19/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265058176 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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