| Farshad Ariaee Dds Inc | |
|
113 Waterworks Way Suite 310 Irvine CA 92618 | |
| (949) 552-7988 | |
| (949) 786-6591 |
| Full Name | Farshad Ariaee Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 113 Waterworks Way, Irvine, California |
| Authorized Official Name and Position | Dean F Ariaee (OWNER) |
| Authorized Official Contact | 9495527988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farshad Ariaee Dds Inc 113 Waterworks Way Suite 310 Irvine CA 92618 Ph: (949) 552-7988 | Farshad Ariaee Dds Inc 113 Waterworks Way Suite 310 Irvine CA 92618 Ph: (949) 552-7988 |
| NPI Number | 1447479084 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 02/11/2020 |
| Medicare PECOS PAC ID | 7517393887 |
|---|---|
| Medicare Enrollment ID | O20200204002636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447479084 | NPI | - | NPPES |
| B4078401 | Other | CA | DENTICAL |
| B40784-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40784 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Dean F Ariaee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1225354343 PECOS PAC ID: 8426484791 Enrollment ID: I20200303002108 |
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