Organization
FARZIN MEHRDAD D.D.S. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZIN MEHRDAD D.D.S. (DENTIST/OWNER/DIRECTOR)
(714) 545-9990
Entity
Organization
Contact information
Practice address
1175 BAKER ST, A-4, COSTA MESA, CA 92626-4101
(714) 545-9990
(714) 545-7108
Mailing address
1175 BAKER ST, A-4, COSTA MESA, CA 92626-4101
(714) 545-9990
(714) 545-7108
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47127
CA
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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