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Organization
KAWEH FARAHBOD, D.D.S., A PROFESSIONAL CORP
Active
Organization
KAWEH FARAHBOD, D.D.S., A PROFESSIONAL CORP
Active
Other names
FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAWEH FARAHBOD DDS (OWNER)
(714) 893-1356
Entity
Organization
Contact information
Practice address
7689 WESTMINSTER BLVD, WESTMINSTER, CA 92683-3921
(714) 893-1356
(714) 894-9387
Mailing address
7689 WESTMINSTER BLVD, WESTMINSTER, CA 92683-3921
(714) 893-1356
(714) 894-9387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41724
DELTA DENTAL
CA
01
—
685422
UNITED CONCORDIA
CA
05
—
B41724-1
—
CA
05
—
D41724-01
—
CA
Enumeration date
07/12/2007
Last updated
07/12/2007
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