Organization
MEHDIPOUR DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMID MEHDIPOUR DDS (OWNER ORTHODONTIST)
(202) 758-9707
Entity
Organization
Contact information
Practice address
435 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2917
(714) 701-8001
(714) 701-8021
Mailing address
435 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2917
(714) 701-8001
(714) 701-8021
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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