Organization
AZADEH HOSSEINI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZADEH HOSSEINI DDS (PRESIDENT)
(510) 552-9118
Entity
Organization
Contact information
Practice address
1500 TARA HILLS DR STE 104, PINOLE, CA 94564-2526
(510) 552-9118
Mailing address
1500 TARA HILLS DR STE 104, PINOLE, CA 94564-2526
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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