Individual
BAHAREH FATEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
581 FOSTER CITY BLVD, FOSTER CITY, CA 94404-1695
(650) 286-9999
Mailing address
722 EDGEWATER BLVD APT 301, FOSTER CITY, CA 94404-2843
(415) 696-8444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS108272
CA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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