| Farzin Mehrdad D.d.s. Inc | |
|
1175 Baker St A-4 Costa Mesa CA 92626-4101 | |
| (714) 545-9990 | |
| (714) 545-7108 |
| Full Name | Farzin Mehrdad D.d.s. Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1175 Baker St, Costa Mesa, California |
| Authorized Official Name and Position | Farzin Mehrdad (DENTIST/OWNER/DIRECTOR) |
| Authorized Official Contact | 7145459990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farzin Mehrdad D.d.s. Inc 1175 Baker St A-4 Costa Mesa CA 92626-4101 Ph: (714) 545-9990 | Farzin Mehrdad D.d.s. Inc 1175 Baker St A-4 Costa Mesa CA 92626-4101 Ph: (714) 545-9990 |
| NPI Number | 1124351374 |
|---|---|
| Provider Enumeration Date | 09/04/2009 |
| Last Update Date | 09/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124351374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 47127 (California) | Primary |
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