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MO TAHERI D.M.D. INC. NPI 1750786349


NPI Information

NPI: 1750786349
Provider Name: MO TAHERI, D.M.D., INC.

Doing Business As: VIVID SMILES

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
1640 NEWPORT BLVD
SUITE 300
COSTA MESA, CA
ZIP 92627
Phone: (949) 200-3150
Get Directions

MO TAHERI, D.M.D., INC. is a prosthodontics dentist in Costa Mesa, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. MO TAHERI, D.M.D., INC. NPI is 1750786349. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vivid Smiles.

The provider's business location address is:

1640 NEWPORT BLVD
SUITE 300
COSTA MESA, CA
ZIP 92627-786
Phone: (949) 200-3150

The provider's authorized official is Mohammad Taheri .
The authorized official title is President and has the following contact phone number (949) 200-3150.

The enumeration date for this NPI number is 10/26/2014 and was last updated on 10/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodontics63463CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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