Organization
ANAHEIM COMMUNITY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAHID EINOLLAHI DDS (DENTIST)
(714) 635-0855
Entity
Organization
Contact information
Practice address
435 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2917
(714) 635-0855
(714) 635-1814
Mailing address
435 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2917
(714) 635-0855
(714) 635-1814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B44395-01
DENTICAL
CA
Enumeration date
05/29/2007
Last updated
06/17/2008
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