Organization
ARDALAN DENTAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM WAHEED DDS (DENTIST)
(516) 840-0409
Entity
Organization
Contact information
Practice address
250 W LINCOLN AVE, ANAHEIM, CA 92805-2903
(714) 335-2026
Mailing address
250 W LINCOLN AVE, ANAHEIM, CA 92805-2903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
06/08/2022
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