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Organization
TAVAKOLI DENTAL CORP
Active
Organization
TAVAKOLI DENTAL CORP
Active
Other names
Brite Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DIAZ (OFFICE MANAGER)
(714) 604-5951
Entity
Organization
Contact information
Practice address
1221 N HARBOR BLVD, ANAHEIM, CA 92801
(714) 224-4999
(714) 680-0080
Mailing address
1221 N HARBOR BLVD, ANAHEIM, CA 92801-2421
(714) 224-4999
(714) 680-0080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46985
CA
Other
Enumeration date
07/25/2014
Last updated
08/26/2020
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