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Organization
MEHRAN HAIDARI DMD PC
Active
Organization
MEHRAN HAIDARI DMD PC
Active
Other names
Clayton Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRAN HAIDARI DMD (PRESIDENT/ OWNER)
(925) 524-0444
Entity
Organization
Contact information
Practice address
5442 YGNACIO VALLEY RD, SUITE 70, CONCORD, CA 94521
(925) 524-0444
(925) 524-2472
Mailing address
5442 YGNACIO VALLEY RD STE 70, CONCORD, CA 94521-3827
(925) 524-0444
(925) 524-2472
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
101324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598989741
—
GA
Enumeration date
09/11/2017
Last updated
09/11/2017
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