Individual
DR. AMANDA HEYDARI BOISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6333 TELEGRAPH AVE STE 101, OAKLAND, CA 94609-1359
(510) 547-1300
Mailing address
315 SANTA ROSA AVE APT 3, SAN FRANCISCO, CA 94112-1963
(650) 464-5405
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
104420
CA
Other
Enumeration date
04/13/2021
Last updated
10/24/2025
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