| Sina Eftekharzadeh Dds Prof Dental Corp | |
|
655 S Main St Suite 230 Orange CA 92868-4690 | |
| (714) 543-2815 | |
| Not Available |
| Full Name | Sina Eftekharzadeh Dds Prof Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 655 S Main St, Orange, California |
| Authorized Official Name and Position | Sina Eftekharzadeh (CEO) |
| Authorized Official Contact | 7145432815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sina Eftekharzadeh Dds Prof Dental Corp 655 S Main St Suite 230 Orange CA 92868-4690 Ph: () - | Sina Eftekharzadeh Dds Prof Dental Corp 655 S Main St Suite 230 Orange CA 92868-4690 Ph: (714) 543-2815 |
| NPI Number | 1659724508 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 07/15/2016 |
| Medicare PECOS PAC ID | 6709130297 |
|---|---|
| Medicare Enrollment ID | O20181120001505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659724508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41828 (California) | Primary |
| Provider Name | Pichak Kelk |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972603421 PECOS PAC ID: 4284947284 Enrollment ID: I20190103002455 |
| Provider Name | Sina Eftekharzadeh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619021318 PECOS PAC ID: 0547574683 Enrollment ID: I20190321001523 |
R. Kelly Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 N Tustin St, Orange, CA 92867 Phone: 714-532-3331 Fax: 714-532-5886 | |
Smile Gallery Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 E Lincoln Ave, Suite #201, Orange, CA 92865 Phone: 714-998-2241 Fax: 714-998-8124 | |
Vital Smiles Alabama Ii Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Orange, CA 92868 Phone: 714-480-3000 Fax: 714-571-6445 | |
Orange Village Dentistry Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2393 N Tustin St, A, Orange, CA 92865 Phone: 714-453-0215 Fax: 714-637-4457 | |
Brident Dental Associates Of New Mexico Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Orange, CA 92868 Phone: 714-480-3000 | |
Jay E. Bauman D.d.s., A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 E Chapman Ave Ste 102, Orange, CA 92866 Phone: 714-532-0888 Fax: 714-532-0066 | |
Richard M. Gates, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 E Lincoln Ave, Suite 115, Orange, CA 92865 Phone: 714-282-9131 Fax: 714-282-9134 |