Provider Demographics
NPI:1619127180
Name:SAFARI DDS., MEHRI (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEHRI
Middle Name:
Last Name:SAFARI DDS.
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MEHRI
Other - Middle Name:
Other - Last Name:SAFARI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:16511 GOLDENWEST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-4484
Mailing Address - Country:US
Mailing Address - Phone:714-848-9200
Mailing Address - Fax:714-375-6357
Practice Address - Street 1:16511 GOLDENWEST ST STE 101
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-4484
Practice Address - Country:US
Practice Address - Phone:714-848-9200
Practice Address - Fax:714-375-6357
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51033122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist