Shervin Ahmadnia, dds
Dentist in Lake Forest, CA. Individual provider (NPI-1).
NPI number1720120801
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720120801
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shervin Ahmadnia
- Credential
- dds
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 36331 | CA | Yes |
Practice location
22855 Lake Forest DrSuite B
Lake Forest, CA 92630-1656
Phone 949-583-1558
Mailing address
22855 Lake Forest DrSuite B
Lake Forest, CA 92630-1656
Phone 949-583-1558
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All 44 Dentist providers in Lake Forest · All 1,427 providers in Lake Forest
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