Hossein K. Ebrahim, D.m.d. Inc,
NPI #1124388913 in San Juan Capistrano, California
Provider Information
- NPI Number
- 1124388913
- Entity Type
- Organization
- Organization Name
- Hossein K. Ebrahim, D.m.d. Inc,
- Primary Specialty
- Dentist
- Enumeration Date
- May 25, 2012
- Last Updated
- May 25, 2012
Practice Location
- Address
- 32122 PASEO ADELANTO
- Address 2
- SUITE 1B
- State
- California
- ZIP Code
- 92675-3605
- Phone
- (949) 493-6166
Authorized Official
- Name
- DR. HOSSEIN KIA EBRAHIM, DMD
- Title
- PRESIDENT/DENTIST
- Phone
- (949) 350-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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