<Unavail>
LBN: Azadeh Afzali D.D.S, Inc.
<Unavail> is an health care organization with primary practice located at 1918 Business Center Dr Ste 210 , San Bernardino CA 92408-3441. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty.
Azadeh Afzali D.D.S, Inc. can be contacted via phone (909) 881-3336, or through Afzali, Azadeh Mary via phone (909) 881-3336.
Contact Information
Primary practice address
1918 Business Center Dr Ste 210
San Bernardino CA 92408-3441
Phone: (909) 881-3336
Fax: (909) 890-9099
Website:
Authorized official contact:
Name: Afzali, Azadeh Mary Doctor of Dental Surgery (DDS)
Phone: (909) 881-3336
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 64657 | California |
| Dental Providers / General Practice | 1223G0001X | 55014 | California |
Profile Details
| NPI number | 1669833810 |
|---|---|
| LBN Legal business name | Azadeh Afzali D.D.S, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Afzali, Azadeh Mary Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 16th, 2016 |
| Last updated | Mar 16th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669833810 | NPPES |
| California | Other | 55014 | CALIFORNIA DENTAL LICENCE |
| California | Other | 64657 | CALIFORNIA DENTAL LICENCE |
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