Individual
ROSE DASTMALCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
301 LENNON LN, SUITE 101, WALNUT CREEK, CA 94598-2483
(925) 937-2100
(925) 937-2100
Mailing address
301 LENNON LN, SUITE 101, WALNUT CREEK, CA 94598-2483
(925) 937-2100
(925) 937-2100
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
36910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036910
DELTA DENTAL
CA
01
—
36910
STATE LICENSE
CA
Enumeration date
08/12/2009
Last updated
08/12/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us