Organization
SAFAEDDIN JAHANBANI D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAFAEDDIN JAHANBANI D.D.S. (PRESIDENT)
(949) 836-7831
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY STE 130, IRVINE, CA 92618-3168
(949) 836-7831
Mailing address
113 WATERWORKS WAY STE 130, IRVINE, CA 92618-3168
(949) 836-7831
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B45376
—
CA
Enumeration date
07/15/2008
Last updated
07/15/2008
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