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Organization
FOOTHILL DENTAL GROUP
Active
Organization
FOOTHILL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBAK SHEMIRANI (OWNER)
(510) 793-9025
Entity
Organization
Contact information
Practice address
22755 FOOTHILL BLVD, HAYWARD, CA 94541-4207
(510) 793-9025
Mailing address
22755 FOOTHILL BLVD, HAYWARD, CA 94541-4207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47561
CA
1223G0001X
General Practice Dentistry
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—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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