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NPI Code Detail

MEDICARE: ABTIN RAHIMIAN DDS INC

MEDICARE: ABTIN RAHIMIAN 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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1912785270
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABTIN RAHIMIAN DDS INC
Provider Business Mailing Address
First Line : 2621 ZOE AVE STE B
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-4131
Country : US
Telephone Number : 949-309-1042
Fax Number :
Provider Business Practice Location Address
First Line : 2621 ZOE AVE STE B
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-4131
Country : US
Telephone Number : 949-309-1042
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ABTIN RAHIMIAN
Credential : DDS
Telephone Number : 949-309-1042
Provider Enumeration Date : 09/18/2023
Last Update Date : 09/18/2023

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Directions to “ABTIN RAHIMIAN DDS INC ” Practice Location

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