Tavakoli Dental Corp

NPI #1356759021 in Anaheim, California

Provider Information

NPI Number: 1356759021
Entity Type: Organization
Organization Name: Tavakoli Dental Corp
Primary Specialty: Dentist
Enumeration Date: Jul 25, 2014
Last Updated: Aug 26, 2020

Practice Location

Address: 1221 N HARBOR BLVD
City: Anaheim
State: California
ZIP Code: 92801
Phone: (714) 224-4999

Authorized Official

Name: MARIA DIAZ
Title: OFFICE MANAGER
Phone: (714) 604-5951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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