Dara Ahmadnia, DDS Valid NPI
Individual provider · Dentist · Lake Forest, CA
- NPI
- 1407688336
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 110580 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-08-19
- Last updated
- 2024-08-19
Practice location
22855 Lake Forest Dr Ste B
Lake Forest, CA 92630-1647
(949) 583-1558