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Organization
FALLON DENTAL GROUP
Active
Organization
FALLON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZITA KABIRI DDS (DENTIST)
(925) 206-0735
Entity
Organization
Contact information
Practice address
3746 FALLON RD, FALLON GATEWAY, DUBLIN, CA 94568
(925) 803-0100
Mailing address
4284 DIAVILA AVE, PLEASANTON, CA 94588-8373
(925) 206-0735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS100543
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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