Individual provider · Type 1 NPI

Souzan R. Ardalan

Dentist · Orange, CA

NPI number 1629196449 Active

Practice location

530 S Main St
Orange, CA 92868-4525

Call (714) 480-3000 Map

Fax (714) 571-3560

Mailing address

2554 Ardmore Ave
Hermosa Beach, CA 90254-2224

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X40302 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1629196449

Souzan R. Ardalan's National Provider Identifier is 1629196449, issued on Mar 27, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Orange, CA. The record was last updated on Jul 9, 2007.