Individual
DR. AMIR GHADIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
530 S MAIN ST, WESTERN DENTAL, ORANGE, CA 92868-4525
(800) 465-3320
Mailing address
530 S MAIN ST, WESTERN DENTAL, ORANGE, CA 92868-4525
(800) 465-3320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58424
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
07/02/2008
Last updated
08/07/2009
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