Organization
GHANOUNI YASHARI DENTAL CORP
Active
Other names
Sacramento Braces and Wisdom Teeth
Organization subpart
No
Provider details
NPI number
Authorized official
SEPAND GHANOUNI DDS (CHIEF FINANCIAL OFFICER)
(916) 545-5373
Entity
Organization
Contact information
Practice address
1737 PROFESSIONAL DR, SACRAMENTO, CA 95825
(916) 545-5373
Mailing address
1737 PROFESSIONAL DR, SACRAMENTO, CA 95825
(916) 545-5373
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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