NPI 1376822031 · live from the CMS NPI Registry
Amir Reza Aminoshariae, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Fullerton, CA. National Provider Identifier 1376822031, active.
NPI record
| NPI | 1376822031 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2956 Sparrow Dr, Fullerton, CA 92835 |
| Practice phone | 216-533-6880 |
| Mailing address | 1515 W Cornwallis Dr Ste 105, Greensboro, NC 27408 |
| Enumerated | August 12, 2011 |
| Last updated | February 1, 2021 |
| Sole proprietor | No |
| Other names | Amir Aminoshariae |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 30023530 (OH) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 103566 (CA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 9639 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.