| Hedayat Dental Corporation | |
|
5175 E Pacific Coast Hwy Ste 305 Long Beach CA 90804-3316 | |
| (949) 292-2091 | |
| Not Available |
| Full Name | Hedayat Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5175 E Pacific Coast Hwy Ste 305, Long Beach, California |
| Authorized Official Name and Position | Iman Malek Hedayat (OWNER) |
| Authorized Official Contact | 9492922091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hedayat Dental Corporation 5175 E Pacific Coast Hwy Ste 305 Long Beach CA 90804-3316 Ph: (949) 292-2091 | Hedayat Dental Corporation 5175 E Pacific Coast Hwy Ste 305 Long Beach CA 90804-3316 Ph: (949) 292-2091 |
| NPI Number | 1578266540 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 05/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578266540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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