Provider Demographics
NPI:1487056610
Name:ALIREZA FARIGHI D.D.S INC
Entity type:Organization
Organization Name:ALIREZA FARIGHI D.D.S INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARIGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-642-6678
Mailing Address - Street 1:213 W WILSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-1667
Mailing Address - Country:US
Mailing Address - Phone:949-642-6678
Mailing Address - Fax:949-642-0478
Practice Address - Street 1:213 W WILSON ST STE A
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-1667
Practice Address - Country:US
Practice Address - Phone:949-642-6678
Practice Address - Fax:949-642-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty