E Jan Davidian in Riverside - Orthodontics And Dentofacial Orthopedics

E Jan Davidian - NPI 1750405288

E Jan Davidian is a Orthodontics And Dentofacial Orthopedics in Riverside, California. E Jan Davidian practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for E Jan Davidian is 1750405288. The last update date is 2007-07-08.

E Jan Davidian's current location address is 6886 Indiana Ave, Riverside, California. You can contact this provider via phone number 9516826030 and fax number 9516829243. The mailing address for E Jan Davidian is 6886 Indiana Ave, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Name E Jan Davidian
Address 6886 Indiana Ave, Riverside, California
Phone Number 9516826030
Fax Number 9516829243
Sole Proprietor Y
Credentials DDS, MS

NPI Number Detail

NPI Number 1750405288
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6886 Indiana Ave
City Riverside
State California (CA)
Post Code 925064218
Phone Number 9516826030
Fax Number 9516829243

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No DV17057
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about E Jan Davidian

What is the unique provider identifier assigned to E Jan Davidian?

The E Jan Davidian has been issued the NPI (National Provider Identifier) 1750405288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the E Jan Davidian's physical address?

The E Jan Davidian is physically located at 6886 Indiana Ave, in the city of Riverside, CA, with the postal code 925064218.

What is E Jan Davidian's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for E Jan Davidian is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.

When did E Jan Davidian receive its 1750405288 assignment?

The E Jan Davidian was assigned its 1750405288 on 2007-03-19, which is the date when this unique identifier was issued to the organization.

When was the information regarding E Jan Davidian most recently updated?

The details pertaining to the E Jan Davidian, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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