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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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