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Organization
POURIA MALEKI DDS II INC
Active
Organization
POURIA MALEKI DDS II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POURIA MALEKI DDS (OWNER DENTIST)
(714) 401-3047
Entity
Organization
Contact information
Practice address
2940 W LINCOLN AVE STE L&K, ANAHEIM, CA 92801-6294
(714) 995-4000
Mailing address
2940 W LINCOLN AVE STE L&K, ANAHEIM, CA 92801-6294
(714) 995-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54940
DENTIST
CA
Enumeration date
02/01/2022
Last updated
09/28/2022
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