Organization
A. M. ASHTIANI, A PROFESSIONAL CORPORATION
Active
Other names
North Bridge Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY A . M. ASHTIANI D.D.S. (PRESIDENT)
(707) 789-9399
Entity
Organization
Contact information
Practice address
30 W EL ROSE DR, PETALUMA, CA 94952-7525
(707) 789-9399
(707) 789-9199
Mailing address
30 W EL ROSE DR, PETALUMA, CA 94952-7525
(707) 789-9399
(707) 789-9199
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
38081
CA
Other
Enumeration date
08/01/2007
Last updated
03/21/2012
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