Provider Demographics
NPI:1922612332
Name:DIALANI DENTAL CORPORATION
Entity Type:Organization
Organization Name:DIALANI DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHARAF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-702-2001
Mailing Address - Street 1:27068 LA PAZ RD # 440
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3041
Mailing Address - Country:US
Mailing Address - Phone:949-702-2001
Mailing Address - Fax:
Practice Address - Street 1:2 JOURNEY STE 207
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-3373
Practice Address - Country:US
Practice Address - Phone:949-702-2001
Practice Address - Fax:949-643-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty