Dr. Souzan R. Ardalan is a Orange, California based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Souzan R. Ardalan is 40302 for Dentistry in California. Her current practice location is 530 S Main St, Orange. Patients can reach her at 714-480-3000.
Dr. Souzan R. Ardalan is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Souzan R. Ardalan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Souzan R. Ardalan
Specialization:
Dentist
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
530 S Main St, Orange, California, 92868-4525
Phone:
714-480-3000
Fax:
714-571-3560
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 are as mentioned below.
NPI Number:
1629196449
NPI Enumeration Date:
27 Mar, 2007
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Souzan R. Ardalan are as mentioned below.
License Number
Specialization
State
Status
40302
Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Souzan R. Ardalan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D40302
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2554 Ardmore Ave, Hermosa Beach, California
Zip:
90254-2224
Phone Number:
714-480-3000
Fax Number:
714-571-3560
Patients can reach Dr. Souzan R. Ardalan at 530 S Main St, Orange, California or can call to book an appointment on 714-480-3000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.