Individual
DANESH BASTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 14TH ST, OAKLAND, CA 94612-3905
(510) 444-6300
(510) 444-6315
Mailing address
315 14TH ST, OAKLAND, CA 94612-3905
(510) 444-6300
(510) 444-6315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50209
CA
Other
Enumeration date
12/05/2006
Last updated
10/21/2019
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