Mozayeni-Azar, Mandana

Mozayeni-Azar, Mandana is an individual health care provider with primary practice located at 18 Coastal Oak , Newport Coast CA 92657-1655. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Mozayeni-Azar, Mandana can be contacted via phone (216) 299-5223.

Contact Information

Primary practice address
18 Coastal Oak Newport Coast CA 92657-1655
Phone: (216) 299-5223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 49379 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 21664 Ohio
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 49379 California

Profile Details

NPI number 1912970724
LBN Legal business name Mozayeni-Azar, Mandana
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jan 3rd, 2019 - about 6 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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