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6131 Orangethorpe Ave Suite #405 Buena Park CA 90620-1315 | |
(714) 670-7134 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 6131 Orangethorpe Ave, Buena Park, California |
Authorized Official Name and Position | Shawn Rabizadeh (PRES) |
Authorized Official Contact | 8183706466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6131 Orangethorpe Ave Suite #405 Buena Park CA 90620-1315 Ph: (714) 670-7134 | 6131 Orangethorpe Ave Suite #405 Buena Park CA 90620-1315 Ph: (714) 670-7134 |
NPI Number | 1477932465 |
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Provider Enumeration Date | 05/22/2015 |
Last Update Date | 05/26/2015 |
Identifier | Type | State | Issuer |
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1477932465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 46324 (California) | Primary |
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