# AKBAR HEIDARINIA DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTH COAST DENTAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306043872
- **Authorized official:** DR. AKBAR HEIDARINIA DMD (PRESIDENT)
- **Authorized official phone:** (714) 556-1001

## Contact information

- **Practice address:** 2231 S BRISTOL ST, SANTA ANA, CA 92704-5124
- **Practice address phone:** (714) 556-1001
- **Practice address fax:** (714) 556-1003
- **Mailing address:** 2231 S BRISTOL ST, SANTA ANA, CA 92704-5124
- **Mailing address phone:** (714) 556-1001
- **Mailing address fax:** (714) 556-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 37117 | CA | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 12/15/2009
