| Mehdipour Dmd Pc | |
|
1401 Guerneville Rd Ste 300 Santa Rosa CA 95403-4174 | |
| (707) 800-8002 | |
| (707) 800-8004 |
| Full Name | Mehdipour Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1401 Guerneville Rd Ste 300, Santa Rosa, California |
| Authorized Official Name and Position | Navid Mehdipour (OWNER) |
| Authorized Official Contact | 2139051073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehdipour Dmd Pc 3709 Espresso Ct Santa Rosa CA 95403-8660 Ph: () - | Mehdipour Dmd Pc 1401 Guerneville Rd Ste 300 Santa Rosa CA 95403-4174 Ph: (707) 800-8002 |
| NPI Number | 1164230165 |
|---|---|
| Provider Enumeration Date | 12/21/2024 |
| Last Update Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164230165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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