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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHY MORTAZAVI, DDS

Active

KATHY MORTAZAVI, DDS is a Dentist healthcare provider located in LAKE FOREST, California. NPI 1851532626 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAKE FOREST, CA

Registration Details

NPI Number
1851532626
Provider Type
Individual
Gender
Female
NPI Issued
Mar 9, 2009 (17.436142969924 yrs)
Last Updated
Dec 25, 2010
License
54883 (CA)

Practice Information

Address
24401 MUIRLANDS BLVD
LAKE FOREST, CA, 926303948
Browse CA providers · Browse ZIP 92630
Phone
9492575152
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LAKE FOREST, CA

Name Credential NPI
DR. ANTHONY ERNEST FOLLICO DDS 1568565653
BRIAN NGOC TONG DDS 1639245616
DR. FOROUD TALE-YAZDI D.D.S. 1215082672
DR. KATHY MAASOUMI D.D.S. 1407998941
MR. SHERVIN AHMADNIA DDS 1720120801
DR. WILLIAM YOUNG GREGG DDS 1568589729
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.