Organization
SHAHRYAR SEFIDPOUR,DDS MSD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRYAR SEFIDPOUR DDS,MSD (OWNER / DOCTOR)
(916) 774-6986
Entity
Organization
Contact information
Practice address
4150 DOUGLAS BLVD STE B, GRANITE BAY, CA 95746-5908
(916) 774-6986
(916) 774-6533
Mailing address
4150 DOUGLAS BLVD STE B, GRANITE BAY, CA 95746-5908
(916) 774-6986
(916) 774-6533
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
98442
CA
Other
Enumeration date
02/26/2007
Last updated
09/27/2016
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