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Organization
KALANTARI DDS DENTAL CORPORATION
Active
Organization
KALANTARI DDS DENTAL CORPORATION
Active
Other names
Smiles On Bristol Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DANIAL REZAEI KALANTARI DDS (CEO)
(714) 662-2000
Entity
Organization
Contact information
Practice address
2502 S BRISTOL ST, SANTA ANA, CA 92704-5725
(714) 662-2000
Mailing address
2502 S BRISTOL ST, SANTA ANA, CA 92704-5725
(714) 662-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61075
CA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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