Etemadi Dental Corporation
Orthodontics and Dentofacial Clinic
12729 Foothill Blvd, Suite # A, Rancho Cucamonga
California, 91739-9334
909-899-8757 909-899-8760
Maps & DirectionsEtemadi Dental Corporation is a Orthodontics and Dentofacial Clinic in Rancho Cucamonga, California. It is located at 12729 Foothill Blvd, Suite # A, Rancho Cucamonga, CA and its contact number is 909-899-8757. The authorized person for Etemadi Dental Corporation is Dr. Khashayar Etemadi
who is President of the clinic and their contact number is 909-899-8757.
Etemadi Dental Corporation Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Etemadi Dental Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Etemadi Dental Corporation |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 12729 Foothill Blvd, Suite # A, Rancho Cucamonga,
California, 91739-9334 |
| Phone: | 909-899-8757 |
| Fax: | 909-899-8760 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Khashayar Etemadi |
| Position: | President |
| Contact Number: | 909-899-8757 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Etemadi Dental Corporation clinic are as mentioned below.
| NPI Number: | 1699842492 |
| NPI Enumeration Date: | 29 Nov, 2006 |
| NPI Last Update On: | 13 Oct, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Etemadi Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
| Orthodontics and Dentofacial Orthopedics | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G9124301 | Other | California | Medical |
| 868675 | Other | California | United Concordia |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Etemadi Dental Corporation
12729 Foothill Blvd, Suite # A
Rancho Cucamonga, California |
| Zip: | 91739-9334 |
| Phone Number: | 909-899-8757 |
| Fax Number: | 909-899-8760 |
Patients can reach Etemadi Dental Corporation at
12729 Foothill Blvd, Suite # A, Rancho Cucamonga, California or can
call to book an appointment on 909-899-8757.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.