Abedi, Hamid Reza

Abedi, Hamid Reza is an sole proprietor health care provider with primary practice located at 1384 109Th Ave Ne Ste 200 , Blaine MN 55434-4543. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Ambulatory Health Care Facilities / Dental. Dental Providers / Endodontics is his primary health care specialty. Abedi, Hamid Reza can be contacted via phone (949) 230-7692.

Contact Information

Primary practice address
1384 109Th Ave Ne Ste 200 Blaine MN 55434-4543
Phone: (949) 230-7692
Fax: (909) 613-0277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 43300 California
Ambulatory Health Care Facilities / Dental 261QD0000X S179 Minnesota
Dental Providers / Endodontics 1223E0200X S7-129C Nevada

Profile Details

NPI number 1891865861
LBN Legal business name Abedi, Hamid Reza
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Mar 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891865861 NPPES
California Other 95-4784432 TAX ID#

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