Mary M Farshidpour, DMD Valid NPI
Individual provider · General Practice Dentistry · Lake Forest, CA
- NPI
- 1326294125
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 57437 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-08-12
- Last updated
- 2008-08-12
Practice location
26071 Ramjit Ct
Lake Forest, CA 92630-5536
(949) 683-7721