# AMIR ESFANDIARI DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SC Elite Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124171905
- **Authorized official:** DR. AMIR MEHDI NOORI ESFANDIARI DDS (OWNER)
- **Authorized official phone:** (949) 861-2500

## Contact information

- **Practice address:** 2500 ALTON PKWY, SUITE 203, IRVINE, CA 92606-5024
- **Practice address phone:** (949) 861-2500
- **Practice address fax:** (949) 861-2501
- **Mailing address:** 2500 ALTON PKWY, SUITE 203, IRVINE, CA 92606-5024
- **Mailing address phone:** (949) 861-2500
- **Mailing address fax:** (949) 861-2501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 52665 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 03/03/2009