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NPI Code Detail

MEDICARE: CHARLES S ZAHEDI DDS INC

MEDICARE: CHARLES S ZAHEDI DDS INC
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
1122300000XDentistDDS56825CA

General Provider Information

NPI Number : 1184862575
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLES S ZAHEDI DDS INC
Provider Business Mailing Address
First Line : 4667 MACARTHUR BLVD STE 230
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-1867
Country : US
Telephone Number : 888-871-0009
Fax Number : 888-872-5556
Provider Business Practice Location Address
First Line : 4667 MACARTHUR BLVD STE 230
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-1867
Country : US
Telephone Number : 888-871-0009
Fax Number : 888-872-5556
Authorized Official
Title or Position : OWNER
Name : DR. CHARLES S ZAHEDI
Credential : DDS
Telephone Number : 949-922-4450
Provider Enumeration Date : 01/23/2009
Last Update Date : 03/07/2013

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Directions to “CHARLES S ZAHEDI DDS INC ” Practice Location

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