| Obaidi Dental Corporation | |
|
657 Camino De Los Mares Suite 138 San Clemente CA 92673-2826 | |
| (949) 487-6780 | |
| (949) 487-6781 |
| Full Name | Obaidi Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 657 Camino De Los Mares, San Clemente, California |
| Authorized Official Name and Position | Anmar Mahdi Obaidi (PRESIDENT) |
| Authorized Official Contact | 9496833326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Obaidi Dental Corporation 657 Camino De Los Mares Suite 138 San Clemente CA 92673-2826 Ph: (949) 487-6780 | Obaidi Dental Corporation 657 Camino De Los Mares Suite 138 San Clemente CA 92673-2826 Ph: (949) 487-6780 |
| NPI Number | 1447642152 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Medicare PECOS PAC ID | 7810329562 |
|---|---|
| Medicare Enrollment ID | O20191118002108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447642152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56455 (California) | Primary |
| Provider Name | Anmar M Obaidi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255583126 PECOS PAC ID: 7618309360 Enrollment ID: I20200401000143 |
Edalat Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Avenida Cabrillo Ste B, San Clemente, CA 92672 Phone: 949-409-4080 Fax: 949-284-9200 | |
Kristen Ritzau Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Avenida Cabrillo, San Clemente, CA 92672 Phone: 949-498-4110 Fax: 949-498-8657 | |
Kyu Lee Dmd,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Avenida Pico, Suite W, San Clemente, CA 92673 Phone: 949-369-7200 | |
V.mai Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Avenida Pico Ste W, San Clemente, CA 92673 Phone: 949-369-7200 Fax: 949-369-7700 | |
Noahcare.com Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 Camino De Los Mares Ste 108, San Clemente, CA 92673 Phone: 949-300-4882 | |
Seascape Cosmetic And Implant Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Camino De Los Mares, Suite 304, San Clemente, CA 92673 Phone: 949-496-5001 Fax: 888-285-5330 | |
Dr Carla Bryan Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 657 Camino De Los Mares Ste 138, San Clemente, CA 92673 Phone: 949-487-6780 Fax: 949-487-6781 |