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Organization

MEHRAN HAIDARI DMD PC

Active
Other names
Clayton Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MEHRAN HAIDARI DMD (PRESIDENT/ OWNER)
(925) 524-0444
Entity
Organization

Contact information

Practice address
5442 YGNACIO VALLEY RD, SUITE 70, CONCORD, CA 94521
(925) 524-0444
(925) 524-2472
Mailing address
5442 YGNACIO VALLEY RD STE 70, CONCORD, CA 94521-3827
(925) 524-0444
(925) 524-2472

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
101324
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598989741
GA
Enumeration date
09/11/2017
Last updated
09/11/2017
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