| Ardavan Fateh Dds, Inc. | |
|
2355 Ocean Ave San Francisco CA 94127-2600 | |
| (415) 333-1173 | |
| Not Available |
| Full Name | Ardavan Fateh Dds, Inc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2355 Ocean Ave, San Francisco, California |
| Authorized Official Name and Position | Ardavan Fateh (CEO) |
| Authorized Official Contact | 3107217173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ardavan Fateh Dds, Inc. 2355 Ocean Ave San Francisco CA 94127-2600 Ph: () - | Ardavan Fateh Dds, Inc. 2355 Ocean Ave San Francisco CA 94127-2600 Ph: (415) 333-1173 |
| NPI Number | 1912376278 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912376278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 60303 (California) | Primary |
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