| Mahroo Dental Corporation | |
|
23101 Lake Center Dr Ste 315 Lake Forest CA 92630-6812 | |
| (504) 275-9681 | |
| Not Available |
| Full Name | Mahroo Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 23101 Lake Center Dr Ste 315, Lake Forest, California |
| Authorized Official Name and Position | Nazafarine Mahroo (OWNER) |
| Authorized Official Contact | 5042759681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahroo Dental Corporation 23101 Lake Center Dr Ste 315 Lake Forest CA 92630-6812 Ph: (504) 275-9681 | Mahroo Dental Corporation 23101 Lake Center Dr Ste 315 Lake Forest CA 92630-6812 Ph: (504) 275-9681 |
| NPI Number | 1720763089 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 3870948847 |
|---|---|
| Medicare Enrollment ID | O20231011000979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720763089 | NPI | - | NPPES |
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