Individual
HESHAAM M. FALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
(902) 473-6855
Mailing address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
(902) 473-6855
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
51335
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A106484
CA
Other
Enumeration date
03/22/2010
Last updated
02/11/2022
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