Marina Atef Danial Kalds, DDS
Dentist, General Practice in Santa Ana, CA. Individual provider (NPI-1).
NPI number1710754759
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1710754759
- Entity type
- Individual (NPI-1)
- Name
- Marina Atef Danial Kalds
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 9, 2023
- Last updated
- Dec 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 109667 | CA | Yes |
Practice location
1125 W 17th StSanta Ana, CA 92706-3505
Phone 949-254-1234
Mailing address
15888 Bogart CtFountain Valley, CA 92708-1206
Phone 714-650-6283
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