Provider Demographics
NPI:1780651810
Name:EFTEKHARI, DDS, INC ( UNITED DENTAL CARE )
Entity Type:Organization
Organization Name:EFTEKHARI, DDS, INC ( UNITED DENTAL CARE )
Other - Org Name:UNITED DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:
Authorized Official - Last Name:EFTEKHARI
Authorized Official - Suffix:
Authorized Official - Credentials:D D S
Authorized Official - Phone:310-390-6000
Mailing Address - Street 1:3909 SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4607
Mailing Address - Country:US
Mailing Address - Phone:310-390-6000
Mailing Address - Fax:
Practice Address - Street 1:3909 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4607
Practice Address - Country:US
Practice Address - Phone:310-390-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty