Shadi M Rad Jadali, D.D.S., M.S. Valid NPI

Individual provider · General Practice Dentistry · Mission Viejo, CA

NPI

1770665291

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

51991 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-10-20

Last updated

2007-07-08