| Dr Haz Dental | |
|
13372 Newport Ave Ste F Tustin CA 92780-3426 | |
| (714) 665-0898 | |
| Not Available |
| Full Name | Dr Haz Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13372 Newport Ave, Tustin, California |
| Authorized Official Name and Position | Faye Hazrati (DENTIST) |
| Authorized Official Contact | 7146650898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Haz Dental 13372 Newport Ave. Ste F Tustin CA 92780 Ph: (714) 665-0898 | Dr Haz Dental 13372 Newport Ave Ste F Tustin CA 92780-3426 Ph: (714) 665-0898 |
| NPI Number | 1629448188 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629448188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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