Individual
DR. EHSSAN GHASSEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4101
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
101154
CA
Other
Enumeration date
12/09/2016
Last updated
08/23/2022
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