Organization
OMID DIANAT, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEYED OMID DIANAT DDS, MS (OWNER)
(949) 527-8377
Entity
Organization
Contact information
Practice address
22 ODYSSEY STE 125, IRVINE, CA 92618-3193
(949) 622-0055
Mailing address
235 BRYCE RUN, LAKE FOREST, CA 92630-8732
(949) 527-8377
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/31/2023
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