Individual
DR. MEHRAN HASSANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2355 SAN RAMON VALLEY BLVD STE 105, SAN RAMON, CA 94583-1597
(925) 452-7811
Mailing address
2415 SAN RAMON VALLEY BLVD # 4164, SAN RAMON, CA 94583-5381
(925) 452-7811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN014612
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
107259
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN014612
GA
Other
Enumeration date
06/21/2013
Last updated
10/05/2024
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