Safaeddin Jahanbani D.d.s., Inc. | |
113 Waterworks Way Ste 130 Irvine CA 92618-3168 | |
(949) 836-7831 | |
Not Available |
Full Name | Safaeddin Jahanbani D.d.s., Inc. |
---|---|
Speciality | Clinic/center - Dental |
Location | 113 Waterworks Way Ste 130, Irvine, California |
Authorized Official Name and Position | Safaeddin Jahanbani (PRESIDENT) |
Authorized Official Contact | 9498367831 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Safaeddin Jahanbani D.d.s., Inc. 113 Waterworks Way Ste 130 Irvine CA 92618-3168 Ph: (949) 836-7831 | Safaeddin Jahanbani D.d.s., Inc. 113 Waterworks Way Ste 130 Irvine CA 92618-3168 Ph: (949) 836-7831 |
NPI Number | 1376707661 |
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Provider Enumeration Date | 07/15/2008 |
Last Update Date | 07/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376707661 | NPI | - | NPPES |
B45376 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 45376 (California) | Primary |
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