| Saghatchi Dental Corporation | |
|
1835 Newport Blvd Ste E267 Costa Mesa CA 92627-5013 | |
| (949) 574-0100 | |
| (949) 574-0101 |
| Full Name | Saghatchi Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1835 Newport Blvd Ste E267, Costa Mesa, California |
| Authorized Official Name and Position | Farshad Saghatchi (PRESIDENT) |
| Authorized Official Contact | 9495740100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saghatchi Dental Corporation 1835 Newport Blvd Ste E267 Costa Mesa CA 92627-5013 Ph: (949) 574-0100 | Saghatchi Dental Corporation 1835 Newport Blvd Ste E267 Costa Mesa CA 92627-5013 Ph: (949) 574-0100 |
| NPI Number | 1134368491 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 10/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134368491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45970 (California) | Primary |
| 1223P0300X | Dentist - Periodontics | 49877 (California) | Secondary |
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