Aava Dental of Foothill Ranch a Mansour Dental Group Inc Rodeo Managem

Primary specialty

DentistTaxonomy code 122300000X

License

58012 Issued in CA

Legal business name

AAVA DENTAL OF FOOTHILL RANCH A MANSOUR DENTAL GROUP INC RODEO MANAGEM

Doing business as

Aava Dental of Foothill Ranch

Practice address

27462 Portola Pkwy
Ste 205
Foothill Ranch, CA 92610-2838

Phone

(817) 529-8151

Fax

(817) 529-8156

NPI assigned

Aug 12, 2013

Last updated

Aug 12, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yahya Mansour, DDS

Title

Owner

Phone

(817) 529-8151

Specialties & licenses 1

Addresses

Other names 1

• AAVA DENTAL OF FOOTHILL RANCH Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1679906895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27462 PORTOLA PKWY",
            "address_2": "STE 205",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102838",
            "telephone_number": "817-529-8151",
            "fax_number": "817-529-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27462 PORTOLA PKWY",
            "address_2": "STE 205",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102838",
            "telephone_number": "817-529-8151",
            "fax_number": "817-529-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAVA DENTAL OF FOOTHILL RANCH A MANSOUR DENTAL GROUP INC RODEO MANAGEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "YAHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-529-8151",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAVA DENTAL OF FOOTHILL RANCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A. Alex Rajabi, DDS, Inc. (Portola Dental)
• Sairah Abbasi, LCSW
• Abc Children's Clinic Inc.
• Robert William Abrahams, D.C.
• Advanced Surgical Center of Foothill Ranch LLC
• Rebecca Martinez Aguiniga

• Dentist in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.