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DR. SHIVA AMANAT DMD
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1750996468
Individual Registrant:DR. SHIVA AMANAT DMD
Gender: F
Sole Proprietor
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: --
Tel: 949-274-9086 Fax: --
Contact information for business:
5 JOURNEY STE 250 ALISO VIEJO, CA 92656-5344 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1750996468
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 105314 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
