| Azadeh Hosseini Dds Inc | |
|
1500 Tara Hills Dr Ste 104 Pinole CA 94564-2526 | |
| (510) 552-9118 | |
| Not Available |
| Full Name | Azadeh Hosseini Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1500 Tara Hills Dr Ste 104, Pinole, California |
| Authorized Official Name and Position | Azadeh Hosseini (PRESIDENT) |
| Authorized Official Contact | 5105529118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azadeh Hosseini Dds Inc 1500 Tara Hills Dr Ste 104 Pinole CA 94564-2526 Ph: () - | Azadeh Hosseini Dds Inc 1500 Tara Hills Dr Ste 104 Pinole CA 94564-2526 Ph: (510) 552-9118 |
| NPI Number | 1780155655 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780155655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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