Individual
SAMILA CHARKHEZARRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 CONCORD AVE, CONCORD, CA 94520-2348
(925) 808-7066
Mailing address
4015 CANYON CREST RD W, SAN RAMON, CA 94582-4801
(765) 212-0134
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
12012479A
IN
1223D0001X
Public Health Dentistry
Primary
DDS101175
CA
Other
Enumeration date
06/08/2016
Last updated
02/24/2020
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