Individual
OUZHAN BEHMARDI KALANTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
16300 SAND CANYON AVE STE 701, IRVINE, CA 92618-3707
(949) 727-4633
Mailing address
16300 SAND CANYON AVE STE 701, IRVINE, CA 92618-3707
(949) 727-4633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103150
CA
1223G0001X
General Practice Dentistry
30.025167
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
103150
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
103250
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D011330
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
06/29/2022
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