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2515 Eastbluff Dr. Newport Beach CA 92660 | |
| (949) 640-5050 | |
| (949) 640-5051 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2515 Eastbluff Dr., Newport Beach, California |
| Authorized Official Name and Position | Hedi Kermani (PRESIDENT) |
| Authorized Official Contact | 9498361699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2549 Eastbluff Dr Ste B #415 Newport Beach CA 92660-3500 Ph: (949) 640-5050 | 2515 Eastbluff Dr. Newport Beach CA 92660 Ph: (949) 640-5050 |
| NPI Number | 1902099112 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902099112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 43565 (California) | Primary |
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