Organization
UNITED DENTAL
Active
Parent organization
UNITED DENTAL SERVICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED DENTAL SERVICE LLC
Authorized official
DR. VAHID EBRAHIMIAN D.D.S. (DENTIST/MANAGER)
(650) 367-4300
Entity
Organization
Contact information
Practice address
647 VETERANS BLVD, REDWOOD CITY, CA 94063-1408
(650) 367-4300
(650) 367-4304
Mailing address
647 VETERANS BLVD, REDWOOD CITY, CA 94063-1408
(650) 367-4300
(650) 367-4304
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
50904
CA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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