| Reza K. Aryanpour Dds, A Dental Corporation | |
|
1436 Professional Dr Ste 302 Petaluma CA 94954-6697 | |
| (415) 819-1977 | |
| Not Available |
| Full Name | Reza K. Aryanpour Dds, A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1436 Professional Dr Ste 302, Petaluma, California |
| Authorized Official Name and Position | Reza K Aryanpour (DDS/ PRESIDENT) |
| Authorized Official Contact | 4158191977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reza K. Aryanpour Dds, A Dental Corporation 1436 Professional Drive Suite 302 Petaluma CA 94954 Ph: (415) 819-1977 | Reza K. Aryanpour Dds, A Dental Corporation 1436 Professional Dr Ste 302 Petaluma CA 94954-6697 Ph: (415) 819-1977 |
| NPI Number | 1093156242 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093156242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47685 (California) | Primary |
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