Provider Demographics
NPI:1568168755
Name:ANBARANI, AFARIN (DDS)
Entity Type:Individual
Prefix:
First Name:AFARIN
Middle Name:
Last Name:ANBARANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 GRAMERCY UNIT 320
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-0012
Mailing Address - Country:US
Mailing Address - Phone:949-302-9097
Mailing Address - Fax:
Practice Address - Street 1:18377 BEACH BLVD STE 220
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1350
Practice Address - Country:US
Practice Address - Phone:714-842-6000
Practice Address - Fax:714-842-6001
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1082491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice