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Individual

NEEMA BEHZAD MEHRKHODAVANDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
500 SPRUCE ST, SUITE 204, SAN FRANCISCO, CA 94118-2666
(415) 221-1788
Mailing address
500 SPRUCE ST, SUITE 204, SAN FRANCISCO, CA 94118-2666
(415) 221-1788

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
62035
CA
122300000X
Dentist
DN1856090
MA
1223E0200X
Endodontics
Primary
62035
CA

Other

Enumeration date
03/02/2013
Last updated
06/03/2014
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