Etemadi Dental Corporation in Rancho Cucamonga - Orthodontics And Dentofacial Orthopedics
Etemadi Dental Corporation - NPI 1699842492
Etemadi Dental Corporation is a Orthodontics And Dentofacial Orthopedics in Rancho Cucamonga, California. Etemadi Dental Corporation practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Etemadi Dental Corporation is 1699842492. The last update date is 2021-10-13.
Etemadi Dental Corporation's current location address is 12729 Foothill Blvd, Rancho Cucamonga, California. You can contact this provider via phone number 9098998757 and fax number 9098998760. The mailing address for Etemadi Dental Corporation is 12729 Foothill Blvd, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Etemadi Dental Corporation |
|---|---|
| Address | 12729 Foothill Blvd, Rancho Cucamonga, California |
| Phone Number | 9098998757 |
| Fax Number | 9098998760 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Etemadi Khashayar |
| Credentials | DDS |
| Telephone Number | 9098998757 |
NPI Number Detail
| NPI Number | 1699842492 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2021-10-13 |
Provider Mailing Address Detail
| Address | 12729 Foothill Blvd |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917399334 |
| Phone Number | 9098998757 |
| Fax Number | 9098998760 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9124301 | CA | MEDICAL | |
| 868675 | CA | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identifier code issued to Etemadi Dental Corporation by the Centers for Medicare & Medicaid Services?
The Etemadi Dental Corporation has been assigned the NPI (National Provider Identifier) 1699842492. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Etemadi Dental Corporation?
The Etemadi Dental Corporation is physically situated at 12729 Foothill Blvd, in the city of Rancho Cucamonga, state of CA, with the postal code 917399334.
What is Etemadi Dental Corporation's area of expertise and its corresponding taxonomy classification?
The Etemadi Dental Corporation's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1699842492 to Etemadi Dental Corporation?
The Centers for Medicare & Medicaid Services assigned the 1699842492 to Etemadi Dental Corporation on 2006-11-29.
When was the information pertaining to Etemadi Dental Corporation most recently updated or revised?
The details related to Etemadi Dental Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2021-10-13.
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