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DR. SHIVA AMANAT DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1750996468

Individual Registrant:
DR. SHIVA  AMANAT DMD
Gender: F
Sole Proprietor

Location and contact information for practice:
5 JOURNEY STE 250  ALISO VIEJO, CA 92656-5344 US
Tel: 949-274-9086  Fax: --

Contact information for business:
5 JOURNEY STE 250  ALISO VIEJO, CA 92656-5344 US
Tel: --  Fax: --

Registration Information:
NPI: 1750996468
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA105314

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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