Organization · NPI-2

Anaheim Community Dentistry

Dentist, General Practice · Anaheim, CA

NPI number1124229182
StatusActive
Last updated in NPPESJun 17, 2008

Details

NPI
1124229182
Entity type
Organization (NPI-2)
Legal business name
Anaheim Community Dentistry
Organization subpart
No
Enumeration date
May 29, 2007
Last updated
Jun 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

435 N State College Blvd
Anaheim, CA 92806-2917

Phone 714-635-0855 · Fax 714-635-1814

Mailing address

435 N State College Blvd
Anaheim, CA 92806-2917

Phone 714-635-0855 · Fax 714-635-1814

Authorized official

Vahid Einollahi
Dentist
7146350855

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