Organization
AZITA KHASHAYAR D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZITA KHASHAYAR (MANAGER)
(925) 685-9500
Entity
Organization
Contact information
Practice address
401 GREGORY LN STE 204, PLEASANT HILL, CA 94523-2842
(925) 685-9500
(925) 685-9580
Mailing address
401 GREGORY LN STE 204, PLEASANT HILL, CA 94523-2842
(925) 685-9500
(925) 685-9580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45126
CA
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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