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Organization

BERKELEY HILLS DENTAL CARE, INC.

Active
Other names
Berkeley Hills Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
FARIBA POUR-ANSARI D.M.D (OWNER/DENTISY)
(510) 848-8624
Entity
Organization

Contact information

Practice address
2320 WOOLSEY ST, SUITE 312, BERKELEY, CA 94705-1973
(510) 848-8624
(510) 848-0585
Mailing address
2320 WOOLSEY ST, SUITE 312, BERKELEY, CA 94705-1973
(510) 848-8624
(510) 848-0585

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48168
CA

Other

Enumeration date
02/02/2009
Last updated
02/02/2009
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