Provider Demographics
NPI:1447052477
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:GARDEM GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-5806
Mailing Address - Country:US
Mailing Address - Phone:714-534-9480
Mailing Address - Fax:714-534-9482
Practice Address - Street 1:12833 HARBOR BLVD
Practice Address - Street 2:#F-3
Practice Address - City:GARDEM GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5806
Practice Address - Country:US
Practice Address - Phone:714-534-9480
Practice Address - Fax:714-534-9482
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H. REYHANI DENTAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty