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Ebrahimian Dental Group
Dental Clinic/Center in Scotts Valley, California
NPI 1992453088

Ebrahimian Dental Group is a Dental Clinic/Center based in Scotts Valley, CA and is specialized in Dental. Ebrahimian Dental Group practices in Scotts Valley, CA. The NPI Number for Ebrahimian Dental Group is 1992453088 and holds a License No. (California).

The current practice location address for Ebrahimian Dental Group is 5 Erba Ln Ste A, Scotts Valley, CA and can be reached out via phone at 831-438-4411.

Location: 5 Erba Ln Ste A, Scotts Valley, CA, 95066-4160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992453088
Provider Name
Ebrahimian Dental Group
Credential
Provider Entity Type
Organization
Address
5 Erba Ln Ste A, Scotts Valley, CA, 95066-4160
Phone Number
831-438-4411
Fax Number
Provider Enumeration Date
03/17/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55910 01 CA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
5 Erba Ln Ste A
City
Scotts Valley
State
California
Zip
95066-4160
Phone Number
831-438-4411
Fax Number
person
Provider Business Mailing Address Details
Address
5 Erba Ln Ste A
City
Scotts Valley
State
California
Zip
95066-4160
Phone Number
831-438-4411
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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