| Kourosh Harandi Dds. Ms. Inc. | |
|
1500 Tara Hills Dr Suite 202 Pinole CA 94564-2577 | |
| (510) 724-3666 | |
| (510) 724-5923 |
| Full Name | Kourosh Harandi Dds. Ms. Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1500 Tara Hills Dr, Pinole, California |
| Authorized Official Name and Position | Kourosh Harandi (OWNER) |
| Authorized Official Contact | 5107243666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kourosh Harandi Dds. Ms. Inc. 1500 Tara Hills Dr Suite 202 Pinole CA 94564-2577 Ph: (510) 724-3666 | Kourosh Harandi Dds. Ms. Inc. 1500 Tara Hills Dr Suite 202 Pinole CA 94564-2577 Ph: (510) 724-3666 |
| NPI Number | 1215051453 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215051453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 52802 (California) | Primary |
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