Bahadori, Maryam
Bahadori, Maryam is an sole proprietor health care provider with primary practice located at 28188 Moulton Pkwy Apt 2326 , Laguna Niguel CA 92677-7523. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Bahadori, Maryam can be contacted via phone (949) 389-0197.Contact Information
Primary practice address
28188 Moulton Pkwy Apt 2326
Laguna Niguel CA 92677-7523
Phone: (949) 389-0197
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 53552 | California |
Dental Providers / Dentist | 122300000X | 53552 | California |
Profile Details
NPI number | 1275790164 |
---|---|
LBN Legal business name | Bahadori, Maryam |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2008 |
Last updated | Jan 4th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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