Tarsa Hatefi Ahmadnia, DDS Valid NPI
Individual provider · Dentist · Lake Forest, CA
- NPI
- 1457784050
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 35897 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-08-19
- Last updated
- 2020-02-11
Practice location
22855 Lake Forest Drive Suite B
Lake Forest, CA 92630
(949) 583-1558