Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Soudabeh Moayedghyasy, DMD

Individual provider General Practice Dentistry · NPI 1760629539

Dr. Soudabeh Moayedghyasy, DMD is a General Practice Dentistry in Lake Forest, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

22855 Lake Forest Dr Ste B
Lake Forest, CA 92630-1656
Phone: (949) 583-1558
Fax: (949) 597-9768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 37880 (CA)

Record details

NPI number1760629539
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 15, 2009
Last updated in NPPESJanuary 15, 2009
Mailing address22855 Lake Forest Dr, Suite B, Lake Forest, CA 92630-1656

Other providers in Lake Forest