| Foroutan Dental Corp | |
|
8951 Knott Ave Ste L Buena Park CA 90620-4108 | |
| (714) 826-4181 | |
| Not Available |
| Full Name | Foroutan Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 8951 Knott Ave Ste L, Buena Park, California |
| Authorized Official Name and Position | Monica Chavez (ADMIN) |
| Authorized Official Contact | 9496449181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foroutan Dental Corp 8951 Knott Ave Ste L Buena Park CA 90620-4108 Ph: (714) 826-4181 | Foroutan Dental Corp 8951 Knott Ave Ste L Buena Park CA 90620-4108 Ph: (714) 826-4181 |
| NPI Number | 1053831396 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 06/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053831396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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