# EHSAN KARIMIAN DDS, MSD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356745202
- **Authorized official:** DR. EHSAN KARIMIAN (CEO)
- **Authorized official phone:** (415) 457-2440

## Contact information

- **Practice address:** 908 E ST STE C, SAN RAFAEL, CA 94901-2851
- **Practice address phone:** (415) 457-2440
- **Mailing address:** 908 E ST STE C, SAN RAFAEL, CA 94901-2851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 62539 | CA | Yes |

## Other

- **Enumeration date:** 10/21/2014
- **Last updated:** 05/28/2015