| Tavakolian Dds, Inc. | |
|
2041 Pioneer Ct Ste 100 San Mateo CA 94403-1729 | |
| (240) 750-9239 | |
| Not Available |
| Full Name | Tavakolian Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2041 Pioneer Ct Ste 100, San Mateo, California |
| Authorized Official Name and Position | Pardis Tavakolian (PRESIDENT) |
| Authorized Official Contact | 2407509239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tavakolian Dds, Inc. 2041 Pioneer Ct Ste 100 San Mateo CA 94403-1729 Ph: (650) 573-0628 | Tavakolian Dds, Inc. 2041 Pioneer Ct Ste 100 San Mateo CA 94403-1729 Ph: (240) 750-9239 |
| NPI Number | 1104552231 |
|---|---|
| Provider Enumeration Date | 07/30/2022 |
| Last Update Date | 11/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104552231 | NPI | - | NPPES |
| 1932656949 | Other | CA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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