Organization
DARVISHZADEH DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MASSOOD DARVISHZADEH D.D.S. (PRESIDENT)
(925) 298-5386
Entity
Organization
Contact information
Practice address
3466 MT DIABLO BLVD, SUITE C207, LAFAYETTE, CA 94549
(925) 298-5386
Mailing address
3466 MT DIABLO BLVD, SUITE C207, LAFAYETTE, CA 94549
(925) 298-5386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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