| Ebrahimian Dental Group | |
|
5 Erba Ln Ste A Scotts Valley CA 95066-4160 | |
| (831) 438-4411 | |
| Not Available |
| Full Name | Ebrahimian Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5 Erba Ln Ste A, Scotts Valley, California |
| Authorized Official Name and Position | Ariana Ebrahimian (OWNER) |
| Authorized Official Contact | 8314384411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebrahimian Dental Group 5 Erba Ln Ste A Scotts Valley CA 95066-4160 Ph: (831) 438-4411 | Ebrahimian Dental Group 5 Erba Ln Ste A Scotts Valley CA 95066-4160 Ph: (831) 438-4411 |
| NPI Number | 1992453088 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992453088 | NPI | - | NPPES |
| 55910 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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