| Shahryar Sefidpour,dds Msd Inc | |
|
4150 Douglas Blvd Ste B Granite Bay CA 95746-5908 | |
| (916) 774-6986 | |
| (916) 774-6533 |
| Full Name | Shahryar Sefidpour,dds Msd Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4150 Douglas Blvd Ste B, Granite Bay, California |
| Authorized Official Name and Position | Shahryar Sefidpour (OWNER / DOCTOR) |
| Authorized Official Contact | 9167746986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahryar Sefidpour,dds Msd Inc 4150 Douglas Blvd Ste B Granite Bay CA 95746-5908 Ph: (916) 774-6986 | Shahryar Sefidpour,dds Msd Inc 4150 Douglas Blvd Ste B Granite Bay CA 95746-5908 Ph: (916) 774-6986 |
| NPI Number | 1518093111 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 09/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518093111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 98442 (California) | Primary |
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