Vatankhahan, Omid

Vatankhahan, Omid is an individual health care provider with primary practice located at 301 1/2 N Main St , Santa Ana CA 92701-4852. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vatankhahan, Omid can be contacted via phone (714) 547-6600.

Contact Information

Primary practice address
301 1/2 N Main St Santa Ana CA 92701-4852
Phone: (714) 547-6600
Fax: (714) 547-6610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 49259 California

Profile Details

NPI number 1740278662
LBN Legal business name Vatankhahan, Omid
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Nov 17th, 2014 - about 11 years ago

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 1740278662 NPPES
California MEDICAID G9279901

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