MEDICARE: AMIR VAHDANI DMD PROFESSIONAL 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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1083564637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMIR VAHDANI DMD PROFESSIONAL DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	44563 10TH ST W
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-3326
Country	:	US
Telephone Number	:	661-948-6039
Fax Number	:

Provider Business Practice Location Address
First Line	:	44563 10TH ST W
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-3326
Country	:	US
Telephone Number	:	661-948-6039
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMIR VAHDANI
Credential	:	DMD
Telephone Number	:	661-948-6039

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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