| P Kermanshahi Monfared A Dental Corp | |
|
23642 Rockfield Blvd Ste 503 Lake Forest CA 92630-1681 | |
| (949) 317-3367 | |
| Not Available |
| Full Name | P Kermanshahi Monfared A Dental Corp |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 23642 Rockfield Blvd Ste 503, Lake Forest, California |
| Authorized Official Name and Position | Parisa Kermanshahi Monfared (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7024039015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P Kermanshahi Monfared A Dental Corp 23642 Rockfield Blvd Ste 503 Lake Forest CA 92630-1681 Ph: (949) 317-3367 | P Kermanshahi Monfared A Dental Corp 23642 Rockfield Blvd Ste 503 Lake Forest CA 92630-1681 Ph: (949) 317-3367 |
| NPI Number | 1710859046 |
|---|---|
| Provider Enumeration Date | 09/17/2025 |
| Last Update Date | 09/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710859046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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