Provider Demographics
NPI:1215170345
Name:FARAH ABBASSI , DMD, MSD, APC
Entity type:Organization
Organization Name:FARAH ABBASSI , DMD, MSD, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASSI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MSD
Authorized Official - Phone:714-543-1800
Mailing Address - Street 1:2010 E 1ST ST
Mailing Address - Street 2:260
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-4079
Mailing Address - Country:US
Mailing Address - Phone:714-543-1800
Mailing Address - Fax:714-543-1811
Practice Address - Street 1:2010 E 1ST ST
Practice Address - Street 2:260
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4079
Practice Address - Country:US
Practice Address - Phone:714-543-1800
Practice Address - Fax:714-543-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental