Bay Dental | |
3620 S Bristol St Suite #307 Santa Ana CA 92704-7300 | |
(714) 540-2836 | |
(714) 540-4986 |
Full Name | Bay Dental |
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Speciality | Dentist |
Location | 3620 S Bristol St, Santa Ana, California |
Authorized Official Name and Position | Shahin Hashembeik Mahallati (PRESIDENT) |
Authorized Official Contact | 7145402836 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bay Dental 3620 S Bristol St Suite #307 Santa Ana CA 92704-7300 Ph: (714) 540-2836 | Bay Dental 3620 S Bristol St Suite #307 Santa Ana CA 92704-7300 Ph: (714) 540-2836 |
NPI Number | 1144210105 |
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Provider Enumeration Date | 10/21/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144210105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 43194 (California) | Primary |
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