Organization
DANVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZADEH JAFARNIA (DOCTOR/OWNER)
(925) 837-7745
Entity
Organization
Contact information
Practice address
4145 BLACKHAWK PLAZA CIR STE 203, DANVILLE, CA 94506-4699
(925) 837-7745
Mailing address
4145 BLACKHAWK PLAZA CIR STE 203, DANVILLE, CA 94506-4699
(925) 837-7745
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53034
CA
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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