Individual
DR. SHAHRYAR SEFIDPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD MSME
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
47661
CA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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