Provider Demographics
NPI:1962200188
Name:H. REYHANI DENTAL CORPORATION
Entity type:Organization
Organization Name:H. REYHANI DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HADIS
Authorized Official - Middle Name:
Authorized Official - Last Name:REYHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-534-9480
Mailing Address - Street 1:12833 HARBOR BLVD.
Mailing Address - Street 2:#F-3
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-5806
Mailing Address - Country:US
Mailing Address - Phone:714-535-9480
Mailing Address - Fax:714-534-9482
Practice Address - Street 1:2740 S. BRISTOL ST
Practice Address - Street 2:#200
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6233
Practice Address - Country:US
Practice Address - Phone:714-557-0201
Practice Address - Fax:714-557-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty