Individual
AZITA KABIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4284 DIAVILA AVE, PLEASANTON, CA 94588-8373
(925) 206-0735
Mailing address
4284 DIAVILA AVE, PLEASANTON, CA 94588-8373
(925) 206-0735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS100543
CA
Other
Enumeration date
10/06/2016
Last updated
06/25/2017
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