NPI 1679906895 · live from the CMS NPI Registry
Aava Dental Of Foothill Ranch A Mansour Dental Group INC Rodeo Managem
Dentist in Foothill Ranch, CA. National Provider Identifier 1679906895, active.
NPI record
| NPI | 1679906895 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 27462 Portola Pkwy, Ste 205, Foothill Ranch, CA 92610 |
| Practice phone | 817-529-8151 |
| Enumerated | August 12, 2013 |
| Last updated | August 12, 2013 |
| Authorized official | Yahya Mansour, Owner |
| Other names | Aava Dental Of Foothill Ranch |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 58012 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.