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General NPI Number Information
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NPI Number | 1407728611
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Entity Type | Organization
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Legal Business Name | AFRA DENTAL GROUP, APC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 650 S LINCOLN AVE STE 102
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City | CORONA
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State | CA
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Zip | 92882-3540
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Country | US
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Telephone | 951-372-0440
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Fax | 951-372-0660
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Provider Business Mailing Address
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Address Line | 25551 CHIMERA DR
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City | MISSION VIEJO
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State | CA
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Zip | 92692-5048
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Country | US
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Telephone | 818-324-3248
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | RAMIN KHOSHSAR
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Credential | DMD
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Telephone | 818-324-3248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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