# MO TAHERI, D.M.D., INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Vivid Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750786349
- **Authorized official:** DR. MOHAMMAD TAHERI D.M.D. (PRESIDENT)
- **Authorized official phone:** (949) 200-3150

## Contact information

- **Practice address:** 1640 NEWPORT BLVD, SUITE 300, COSTA MESA, CA 92627-3786
- **Practice address phone:** (949) 200-3150
- **Mailing address:** 1640 NEWPORT BLVD, SUITE 300, COSTA MESA, CA 92627-3786
- **Mailing address phone:** (949) 200-3150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 63463 | CA | Yes |

## Other

- **Enumeration date:** 10/26/2014
- **Last updated:** 10/26/2014