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General NPI Number Information
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NPI Number | 1770467847
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Entity Type | Organization
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Legal Business Name | NARGES MIRJALILI, DDS, INC.
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Dates
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Enumeration Date | 08/02/2025
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 28562 OSO PKWY STE K
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-5599
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Country | US
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Telephone | 949-414-9407
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1255
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City | TUSTIN
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State | CA
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Zip | 92781-1255
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Country | US
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Telephone | 949-343-0998
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. NARGES MIRJALILI
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Credential | DDS
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Telephone | 949-343-0998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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