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General NPI Number Information
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NPI Number | 1851287528
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Entity Type | Organization
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Legal Business Name | M JAHROMI DENTISTRY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 23162 LOS ALISOS BLVD STE 103B
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City | MISSION VIEJO
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State | CA
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Zip | 92691-7861
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Country | US
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Telephone | 949-405-7223
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Fax |
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Provider Business Mailing Address
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Address Line | 23162 LOS ALISOS BLVD STE 103B
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City | MISSION VIEJO
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State | CA
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Zip | 92691-7861
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Country | US
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Telephone | 949-405-7223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAHIN N JAHROMI
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Credential | DDS
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Telephone | 949-405-7223
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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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