| Farnaz Amini Dental Corp. | |
|
2001 W 17th St Santa Ana CA 92706-2322 | |
| (714) 547-4444 | |
| Not Available |
| Full Name | Farnaz Amini Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2001 W 17th St, Santa Ana, California |
| Authorized Official Name and Position | Farnaz Amini (CEO/PRESIDENT) |
| Authorized Official Contact | 7145474444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farnaz Amini Dental Corp. 2001 W 17th St Santa Ana CA 92706-2322 Ph: (714) 547-4444 | Farnaz Amini Dental Corp. 2001 W 17th St Santa Ana CA 92706-2322 Ph: (714) 547-4444 |
| NPI Number | 1558986307 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558986307 | NPI | - | NPPES |
| 1851724629 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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