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General NPI Number Information
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NPI Number | 1457151664
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Entity Type | Organization
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Legal Business Name | AKHAVAN DENTAL CORPORATION
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2131 WESTCLIFF DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5562
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Country | US
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Telephone | 949-833-3756
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 WESTCLIFF DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5562
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Country | US
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Telephone | 949-833-3756
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | PARHAM AKHAVAN
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Credential | DDS
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Telephone | 310-977-0306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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