Organization
KHAEF PROFESSIONAL DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMTIN KHAEF (PRESIDENT/DENTIST)
(949) 510-0225
Entity
Organization
Contact information
Practice address
1125 E 17TH ST STE E227, SANTA ANA, CA 92701-2218
(714) 705-6852
Mailing address
4005 CALLE SONORA OESTE UNIT 2B, LAGUNA WOODS, CA 92637-3240
(949) 510-0225
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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