Individual
MS. ANGELA F POURGHASSEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2305 CAMINO RAMON, #230, SAN RAMON, CA 94583
(925) 790-0101
(925) 790-0103
Mailing address
2305 CAMINO RAMON, #230, SAN RAMON, CA 94583
(925) 790-0101
(925) 790-0103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45175
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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