Individual
BAHAREH RAHMATTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 FARMERS LN, SANTA ROSA, CA 95405-6707
(707) 542-5200
(707) 579-3207
Mailing address
6600 PFEIFFER RANCH RD, SAN JOSE, CA 95120-1625
(800) 417-4444
(714) 571-3560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D56209
—
CA
Enumeration date
09/07/2007
Last updated
09/07/2007
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