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Organization
DEHGHANI D M D DENTAL CORP
Active
Organization
DEHGHANI D M D DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIAVASH DEHGHANI DMD (PRESIDENT)
(617) 462-5483
Entity
Organization
Contact information
Practice address
450 SUTTER ST, SUITE 2500, SAN FRANCISCO, CA 94108-4206
(415) 989-3953
Mailing address
450 SUTTER ST, SUITE 2500, SAN FRANCISCO, CA 94108-4206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64099
CA
Other
Enumeration date
04/27/2017
Last updated
08/14/2019
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