Organization
KOUROSH HARANDI DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH HARANDI (CEO/OWNER)
(925) 837-5633
Entity
Organization
Contact information
Practice address
1844 SAN MIGUEL DR, SUITE 309, WALNUT CREEK, CA 94596-4962
(925) 938-5633
Mailing address
1844 SAN MIGUEL DR, SUITE 309, WALNUT CREEK, CA 94596-4962
(925) 938-5633
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
52802
CA
Other
Enumeration date
05/20/2014
Last updated
03/25/2015
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