| Farhad Amini Dental Corporation | |
|
259 E Workman St Covina CA 91723-3507 | |
| (626) 332-0638 | |
| Not Available |
| Full Name | Farhad Amini Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 259 E Workman St, Covina, California |
| Authorized Official Name and Position | Farhad Amini (DENTIST /PRESIDENT) |
| Authorized Official Contact | 6263320638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farhad Amini Dental Corporation 259 E Workman St Covina CA 91723-3507 Ph: (626) 332-0638 | Farhad Amini Dental Corporation 259 E Workman St Covina CA 91723-3507 Ph: (626) 332-0638 |
| NPI Number | 1023568581 |
|---|---|
| Provider Enumeration Date | 10/09/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023568581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 62172 (California) | Primary |
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