Organization
ALI EHSAN DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI EHSAN DDS (OWNER)
(714) 998-5502
Entity
Organization
Contact information
Practice address
1714 N TUSTIN ST, ORANGE, CA 92865-4603
(714) 998-5502
(714) 998-5503
Mailing address
1714 N TUSTIN ST, ORANGE, CA 92865-4603
(714) 998-5502
(714) 998-5503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52380
CA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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