Individual
DR. BAHARAK AMANZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
1000 BROADWAY STE 500, OAKLAND, CA 94607-4033
(510) 208-5911
(510) 208-5933
Mailing address
1000 BROADWAY STE 500, OAKLAND, CA 94607-4033
(510) 208-5911
(510) 208-5933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49450
CA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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