Individual provider · Type 1 NPI

Soudabeh Moayedghyasy, D.M.D

General Practice Dentistry · Lake Forest, CA

NPI number 1760629539 Active

Practice location

22855 Lake Forest Dr, Suite B
Lake Forest, CA 92630-1656

Fax (949) 597-9768

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X37880 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1760629539

Soudabeh Moayedghyasy, D.M.D's National Provider Identifier is 1760629539, issued on Jan 15, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake Forest, CA. The record was last updated on Jan 15, 2009.