Organization
BEACH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMID VATANKHAHAN DDS (DENTIST)
(171) 499-5400
Entity
Organization
Contact information
Practice address
2940 WEST LINCOLN AVE, SUITE L, ANAHEIM, CA 92801
(714) 995-4000
(714) 995-9022
Mailing address
2940 W LINCOLN AVE, SUITE L, ANAHEIM, CA 92801-6294
(714) 995-4000
(714) 995-9022
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
49259
CA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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