Organization
EBRAHIMIAN & EBRAHIMIAN INC
Active
Other names
Ebrahimian Integrative Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX EBRAHIMIAN DDS (OWNER)
(831) 438-4411
Entity
Organization
Contact information
Practice address
5 ERBA LN STE A, SCOTTS VALLEY, CA 95066-4160
(831) 438-4411
(831) 438-1323
Mailing address
5 ERBA LN STE A, SCOTTS VALLEY, CA 95066-4160
(831) 438-4411
(831) 438-1323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28542
CA
332BC3200X
Customized Equipment (DME)
28543
CA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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