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NPI Code Detail

MEDICARE: AFSHAR AND HABASHI DENTAL CORPORATION

MEDICARE: AFSHAR AND HABASHI DENTAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1033217526
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFSHAR AND HABASHI DENTAL CORPORATION
Provider Business Mailing Address
First Line : 2860 MICHELLE
Second Line : 2ND FLOOR
City : IRVINE
State : CA
Zip : 92606-1009
Country : US
Telephone Number : 714-508-3600
Fax Number : 714-368-2092
Provider Business Practice Location Address
First Line : 10405 TIERRASANTA BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92124-2603
Country : US
Telephone Number : 858-492-3900
Fax Number : 858-492-9332
Authorized Official
Title or Position : OWNER DDS
Name : DR. KATAYOUN AFSHAR
Credential : DDS
Telephone Number : 858-492-9300
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/19/2013

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Directions to “AFSHAR AND HABASHI DENTAL CORPORATION ” Practice Location

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