NPI 1518114776

Beach Dental

Organisation Point of Service Anaheim, CA

Practice location

Address: 2940 West Lincoln Ave Suite L, Anaheim, CA 92801
Phone: (714) 995-4000
Fax: (714) 995-9022
Mailing address: 2940 W Lincoln Ave Suite L, Anaheim, CA 92801-6294

Authorised official

Name: Omid Vatankhahan
Title: Dentist
Phone: (171) 499-5400

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 49259 (CA)

Other Point of Service providers in California →

Registry record

NPI: 1518114776
Entity type: Organization
NPI issued: 19 Aug 2008
Record last updated: 19 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.