| |
4667 Macarthur Blvd Ste 230 Newport Beach CA 92660-1867 | |
(888) 871-0009 | |
(888) 872-5556 |
Full Name | |
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Speciality | Dentist |
Location | 4667 Macarthur Blvd Ste 230, Newport Beach, California |
Authorized Official Name and Position | Charles S Zahedi (OWNER) |
Authorized Official Contact | 9499224450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4667 Macarthur Blvd Ste 230 Newport Beach CA 92660-1867 Ph: (888) 871-0009 | 4667 Macarthur Blvd Ste 230 Newport Beach CA 92660-1867 Ph: (888) 871-0009 |
NPI Number | 1184862575 |
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Provider Enumeration Date | 01/23/2009 |
Last Update Date | 03/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184862575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DDS56825 (California) | Primary |
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