Provider Demographics
NPI:1063697258
Name:SEPEHR A. SAEEDI DMD INC
Entity type:Organization
Organization Name:SEPEHR A. SAEEDI DMD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SEPEHR
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:SAEEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:714-546-9999
Mailing Address - Street 1:3930 S BRISTOL ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-7431
Mailing Address - Country:US
Mailing Address - Phone:714-546-9999
Mailing Address - Fax:
Practice Address - Street 1:3930 S BRISTOL ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-7431
Practice Address - Country:US
Practice Address - Phone:714-546-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty