| Roya Mahmoodi Dds, Inc | |
|
1501 Bollinger Canyon Rd Ste B San Ramon CA 94583-1758 | |
| (925) 820-0303 | |
| (925) 820-7373 |
| Full Name | Roya Mahmoodi Dds, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1501 Bollinger Canyon Rd Ste B, San Ramon, California |
| Authorized Official Name and Position | Roya Mahmoodi (OWNER) |
| Authorized Official Contact | 9258200303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roya Mahmoodi Dds, Inc Po Box 197 San Ramon CA 94583-0197 Ph: () - | Roya Mahmoodi Dds, Inc 1501 Bollinger Canyon Rd Ste B San Ramon CA 94583-1758 Ph: (925) 820-0303 |
| NPI Number | 1174160501 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174160501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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