Organization
PACIFICA ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HESSAM AHANI DDS (OWNER)
(650) 898-8951
Entity
Organization
Contact information
Practice address
1301 PALMETTO AVE STE F, PACIFICA, CA 94044-2272
(650) 898-8951
Mailing address
1301 PALMETTO AVE STE F, PACIFICA, CA 94044-2272
(650) 898-8951
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42967
CA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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