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Organization
MEHDIPOUR DMD PC
Active
Organization
MEHDIPOUR DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVID MEHDIPOUR (OWNER)
(213) 905-1073
Entity
Organization
Contact information
Practice address
1401 GUERNEVILLE RD STE 300, SANTA ROSA, CA 95403-4174
(707) 800-8002
(707) 800-8004
Mailing address
3709 ESPRESSO CT, SANTA ROSA, CA 95403-8660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2024
Last updated
12/23/2024
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