Individual
DR. SEYED ALIAKBAR VAHDATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
355 PLACENTIA AVE STE 304, NEWPORT BEACH, CA 92663-3304
(949) 631-3380
(949) 631-3382
Mailing address
355 PLACENTIA AVE STE 304, NEWPORT BEACH, CA 92663-3304
(949) 631-3380
(949) 631-3382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63788
CA
1223E0200X
Endodontics
Primary
63788
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63788
CALIFORNIA STATE LICENSE
CA
Enumeration date
08/14/2014
Last updated
04/19/2021
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