| South Coastdental Group | |
|
980 N Tustin St Orange CA 92867-5903 | |
| (714) 997-1005 | |
| (714) 997-1055 |
| Full Name | South Coastdental Group |
|---|---|
| Speciality | Dentist |
| Location | 980 N Tustin St, Orange, California |
| Authorized Official Name and Position | Akbar Heidarinia (PRESIDENT) |
| Authorized Official Contact | 7149971005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coastdental Group 980 N Tustin St Orange CA 92867-5903 Ph: (714) 997-1005 | South Coastdental Group 980 N Tustin St Orange CA 92867-5903 Ph: (714) 997-1005 |
| NPI Number | 1275728149 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275728149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37117 (California) | Primary |
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