# A. M. ASHTIANI, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Bridge Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164612446
- **Authorized official:** DR. ANDY A . M. ASHTIANI D.D.S. (PRESIDENT)
- **Authorized official phone:** (707) 789-9399

## Contact information

- **Practice address:** 30 W EL ROSE DR, PETALUMA, CA 94952-7525
- **Practice address phone:** (707) 789-9399
- **Practice address fax:** (707) 789-9199
- **Mailing address:** 30 W EL ROSE DR, PETALUMA, CA 94952-7525
- **Mailing address phone:** (707) 789-9399
- **Mailing address fax:** (707) 789-9199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 38081 | CA | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 03/21/2012