Provider Demographics
NPI:1538226121
Name:CHALABI, ORFAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ORFAN
Middle Name:
Last Name:CHALABI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5872
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92863-5872
Mailing Address - Country:US
Mailing Address - Phone:716-228-0620
Mailing Address - Fax:
Practice Address - Street 1:1501 E KATELLA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5025
Practice Address - Country:US
Practice Address - Phone:714-771-2270
Practice Address - Fax:714-771-2215
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA535121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics