Organization
RAMTIN NASSIRI, DDS, MSD, A PROF CORP
Active
Other names
Solano Smile Dental Specialty Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMTIN K. NASSIRI D.D.S., M.S.D. (DOCTOR/PRESIDENT)
(510) 280-5731
Entity
Organization
Contact information
Practice address
1183 SOLANO AVE, ALBANY, CA 94706-1637
(510) 280-5731
Mailing address
1183 SOLANO AVE, ALBANY, CA 94706-1637
(510) 280-5731
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54020
CA
261QD0000X
Dental Clinic/Center
54020
CA
Other
Enumeration date
10/11/2011
Last updated
02/09/2012
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