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Organization

ETEMADIEH DENTAL CORPORATION

Active
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Organization

ETEMADIEH DENTAL CORPORATION

Active
Other names
Orange County Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
ALI-REZA ETEMADIEH (DENTIST)
(714) 628-9910
Entity
Organization

Contact information

Practice address
665 N TUSTIN ST STE W, ORANGE, CA 92867-7148
(714) 628-9910
(714) 628-9930
Mailing address
665 N TUSTIN ST STE W, ORANGE, CA 92867-7148
(714) 628-9910
(714) 628-9930

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61311
CA

Other

Enumeration date
05/15/2013
Last updated
09/14/2026
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