Organization
ANGELA POURGHASSEMI DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA FERESHTEH POURGHASSEMI DMD (PRESIDENT)
(925) 790-0101
Entity
Organization
Contact information
Practice address
2305 CAMINO RAMON, #230, SAN RAMON, CA 94583-1396
(925) 790-0101
(925) 790-0103
Mailing address
2305 CAMINO RAMON, #230, SAN RAMON, CA 94583-1396
(925) 790-0101
(925) 790-0103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45175
CA
Other
Enumeration date
09/20/2006
Last updated
09/24/2008
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