Organization · NPI-2

Akbar Heidarinia Dmd INC

Dentist · Orange, CA

NPI number1275728149
StatusActive
Last updated in NPPESSep 13, 2007

Details

NPI
1275728149
Entity type
Organization (NPI-2)
Legal business name
Akbar Heidarinia Dmd INC
Organization subpart
No
Enumeration date
Sep 13, 2007
Last updated
Sep 13, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist37117CAYes

Other names

  • South Coastdental Group (Doing Business As)

Practice location

980 N Tustin St
Orange, CA 92867-5903

Phone 714-997-1005 · Fax 714-997-1055

Mailing address

980 N Tustin St
Orange, CA 92867-5903

Phone 714-997-1005 · Fax 714-997-1055

Authorized official

Akbar Heidarinia
President
7149971005

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