Provider Demographics
NPI:1033753892
Name:ALVAND DENTAL CORPORATION
Entity Type:Organization
Organization Name:ALVAND DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVAND
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINABADI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-312-1892
Mailing Address - Street 1:29182 MURRE LN
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1303
Mailing Address - Country:US
Mailing Address - Phone:818-312-1892
Mailing Address - Fax:
Practice Address - Street 1:1332 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3954
Practice Address - Country:US
Practice Address - Phone:714-888-5109
Practice Address - Fax:714-888-5287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental