| Azar Mahmoudi,dds,corp | |
|
2819 Crow Canyon Rd Ste 104 San Ramon CA 94583-1656 | |
| (925) 837-2225 | |
| Not Available |
| Full Name | Azar Mahmoudi,dds,corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2819 Crow Canyon Rd Ste 104, San Ramon, California |
| Authorized Official Name and Position | Azar Mahmoudi (PRESIDENT) |
| Authorized Official Contact | 9259975957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azar Mahmoudi,dds,corp 2819 Crow Canyon Rd Ste 104 San Ramon CA 94583-1656 Ph: () - | Azar Mahmoudi,dds,corp 2819 Crow Canyon Rd Ste 104 San Ramon CA 94583-1656 Ph: (925) 837-2225 |
| NPI Number | 1790200962 |
|---|---|
| Provider Enumeration Date | 08/09/2017 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790200962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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