Shervin Ahmadnia, DDS Valid NPI
Individual provider · Dentist · Lake Forest, CA
- NPI
- 1720120801
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 36331 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-13
- Last updated
- 2007-07-08
Practice location
22855 Lake Forest Dr, Suite B
Lake Forest, CA 92630-1656
(949) 583-1558