Organization
AMIR HOSSEINI DENTAL CORPORATION
Active
Other names
Petaluma Braces and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SEYED AMIR M HOSSEINI (CEO)
(707) 787-5600
Entity
Organization
Contact information
Practice address
26 4TH ST STE C, PETALUMA, CA 94952-3477
(707) 787-5600
(707) 787-5602
Mailing address
26 4TH ST STE C, PETALUMA, CA 94952-3477
(707) 787-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/03/2020
Last updated
06/05/2020
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