Etemadi Dental Corporation

LBN: Etemadi Dental Corporation
Etemadi Dental Corporation is an health care organization with primary practice located at 12729 Foothill Blvd Suite # A, Rancho Cucamonga CA 91739-9334. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Etemadi Dental Corporation can be contacted via phone (909) 899-8757, or through Etemadi, Khashayar via phone (909) 899-8757.

Contact Information

Primary practice address
12729 Foothill Blvd Suite # A Rancho Cucamonga CA 91739-9334
Phone: (909) 899-8757
Fax: (909) 899-8760
Website:
Map and Directions
Authorized official contact:
Name: Etemadi, Khashayar Doctor of Dental Surgery (DDS)
Phone: (909) 899-8757

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1699842492
LBN Legal business name Etemadi Dental Corporation
DBA Doing business as
Authorized official Etemadi, Khashayar Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Oct 13th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699842492 NPPES
California Other G9124301 MEDICAL
California Other 868675 MEDICAL

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