Individual
DR. JALEH TINA KEYHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1590 WEBSTER ST STE E, FAIRFIELD, CA 94533-4932
(707) 759-5550
Mailing address
8350 E SUTTON DR, SCOTTSDALE, AZ 85260-4929
(602) 318-6795
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D5160
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS60131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529604
—
AZ
Enumeration date
06/13/2005
Last updated
04/22/2026
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