Organization
EBRAHIMIAN DENTAL GROUP
Active
Other names
Ebrahimian Integrative Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIANA 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
Mailing address
5 ERBA LN STE A, SCOTTS VALLEY, CA 95066-4160
(831) 438-4411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55910
DENTAL LICENSE
CA
Enumeration date
03/17/2022
Last updated
03/17/2022
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