Organization
ATIYA BAHMANYAR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATIYA BAHMANYAR DDS (OWNER)
(714) 900-3340
Entity
Organization
Contact information
Practice address
1174 N EUCLID ST, ANAHEIM, CA 92801-1900
(714) 900-3340
Mailing address
1174 N EUCLID ST, ANAHEIM, CA 92801-1900
(714) 900-3340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
04/06/2022
Last updated
09/22/2022
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