Organization · NPI-2

Ali Ehsan DDS INC.

Dentist, General Practice · Orange, CA

NPI number1073875217
StatusActive
Last updated in NPPESJun 13, 2012

Details

NPI
1073875217
Entity type
Organization (NPI-2)
Legal business name
Ali Ehsan DDS INC.
Organization subpart
No
Enumeration date
Jun 13, 2012
Last updated
Jun 13, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice52380CAYes

Practice location

1714 N Tustin St
Orange, CA 92865-4603

Phone 714-998-5502 · Fax 714-998-5503

Mailing address

1714 N Tustin St
Orange, CA 92865-4603

Phone 714-998-5502 · Fax 714-998-5503

Authorized official

Ali Ehsan
Owner
7149985502

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