| First Street Dentistry | |
|
2010 East First Street Suite 230 Santa Ana CA 92705 | |
| (714) 546-5579 | |
| (714) 542-2785 |
| Full Name | First Street Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2010 East First Street, Santa Ana, California |
| Authorized Official Name and Position | Mahin G Farzin (CEO) |
| Authorized Official Contact | 7145465579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Street Dentistry 2010 East First Street Suite 230 Santa Ana CA 92705 Ph: (714) 546-5579 | First Street Dentistry 2010 East First Street Suite 230 Santa Ana CA 92705 Ph: (714) 546-5579 |
| NPI Number | 1013417443 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 02/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013417443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43754 (California) | Primary |
| 122300000X | Dentist | 52980 (California) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 49050 (California) | Secondary |
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