| Sc Elite Dental Group | |
|
2500 Alton Pkwy Suite 203 Irvine CA 92606-5024 | |
| (949) 861-2500 | |
| (949) 861-2501 |
| Full Name | Sc Elite Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 2500 Alton Pkwy, Irvine, California |
| Authorized Official Name and Position | Amir Mehdi Noori Esfandiari (OWNER) |
| Authorized Official Contact | 9498612500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sc Elite Dental Group 2500 Alton Pkwy Suite 203 Irvine CA 92606-5024 Ph: (949) 861-2500 | Sc Elite Dental Group 2500 Alton Pkwy Suite 203 Irvine CA 92606-5024 Ph: (949) 861-2500 |
| NPI Number | 1124171905 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124171905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52665 (California) | Primary |
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