| Kabiri Premier Dental Inc | |
|
425 Estudillo Ave Ste B San Leandro CA 94577-4906 | |
| (510) 969-8510 | |
| (510) 878-2690 |
| Full Name | Kabiri Premier Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 425 Estudillo Ave Ste B, San Leandro, California |
| Authorized Official Name and Position | Azita Kabiri (PRESIDENT) |
| Authorized Official Contact | 9252060735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kabiri Premier Dental Inc 4284 Diavila Ave Pleasanton CA 94588-8373 Ph: (925) 206-0735 | Kabiri Premier Dental Inc 425 Estudillo Ave Ste B San Leandro CA 94577-4906 Ph: (510) 969-8510 |
| NPI Number | 1659808624 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659808624 | NPI | - | NPPES |
| 1053867622 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 100543 (California) | Primary |
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