Individual
FATEMEH MOMEN HERAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, PHD, MPH, MS
Contact information
Practice address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2210
(415) 476-1731
Mailing address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2210
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
107521
CA
Other
Enumeration date
09/03/2018
Last updated
06/07/2025
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