| Azita Khashayar D.m.d., Inc. | |
|
401 Gregory Ln Ste 204 Pleasant Hill CA 94523-2842 | |
| (925) 685-9500 | |
| (925) 685-9580 |
| Full Name | Azita Khashayar D.m.d., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 401 Gregory Ln Ste 204, Pleasant Hill, California |
| Authorized Official Name and Position | Azita Khashayar (MANAGER) |
| Authorized Official Contact | 9256859500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azita Khashayar D.m.d., Inc. 401 Gregory Ln Ste 204 Pleasant Hill CA 94523-2842 Ph: (925) 685-9500 | Azita Khashayar D.m.d., Inc. 401 Gregory Ln Ste 204 Pleasant Hill CA 94523-2842 Ph: (925) 685-9500 |
| NPI Number | 1699173260 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 12/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699173260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45126 (California) | Primary |
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