| M Farshidpour Dds Inc | |
|
1334 W 1st St Santa Ana CA 92703-3723 | |
| (714) 541-0837 | |
| Not Available |
| Full Name | M Farshidpour Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1334 W 1st St, Santa Ana, California |
| Authorized Official Name and Position | Mary M Farshidpour (TIN OWNER) |
| Authorized Official Contact | 7145410837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Farshidpour Dds Inc 1334 W 1st St Santa Ana CA 92703-3723 Ph: (714) 541-0837 | M Farshidpour Dds Inc 1334 W 1st St Santa Ana CA 92703-3723 Ph: (714) 541-0837 |
| NPI Number | 1518590389 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518590389 | NPI | - | NPPES |
| 57437 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Altamed Health Services Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W Sunflower Ave, Rooms 243-244, 252 & 254, Santa Ana, CA 92704 Phone: 714-274-0373 Fax: 323-597-2113 | |
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