| Taqavi And Soroushian Dental Corporation | |
|
1540 N Tracy Blvd Tracy CA 95376-2903 | |
| (925) 876-4680 | |
| Not Available |
| Full Name | Taqavi And Soroushian Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1540 N Tracy Blvd, Tracy, California |
| Authorized Official Name and Position | Pooya Sorooshian (OFFICE MANAGER) |
| Authorized Official Contact | 9258764680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taqavi And Soroushian Dental Corporation 1540 N Tracy Blvd Tracy CA 95376-2903 Ph: (925) 876-4680 | Taqavi And Soroushian Dental Corporation 1540 N Tracy Blvd Tracy CA 95376-2903 Ph: (925) 876-4680 |
| NPI Number | 1457952475 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457952475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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