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Organization
ARDAVAN FATEH DDS, INC.
Active
Organization
ARDAVAN FATEH DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDAVAN FATEH (CEO)
(310) 721-7173
Entity
Organization
Contact information
Practice address
2355 OCEAN AVE, SAN FRANCISCO, CA 94127-2600
(415) 333-1173
Mailing address
2355 OCEAN AVE, SAN FRANCISCO, CA 94127-2600
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
60303
CA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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