Individual
DR. AZADEH RASTIKERDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1846 N BROADWAY # B, SANTA MARIA, CA 93454-1447
(805) 922-5122
Mailing address
1640 S BENTLEY AVE APT 6, LOS ANGELES, CA 90025-3539
(424) 394-6677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62992
CA
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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