Organization
ANSARI DENTAL CORPORATION, INC.
Active
Parent organization
MAHSA JABERIANSARI DDS INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAHSA JABERIANSARI DDS INC.
Authorized official
MAHSA JABERIANSARI DDS (OWNER)
(925) 828-0824
Entity
Organization
Contact information
Practice address
21310 SAN RAMON VALLEY BLVD., 2, SAN RAMON, CA 94583-4000
(925) 828-0824
(925) 828-3426
Mailing address
21310 SAN RAMON VALLEY BLVD, SAN RAMON, CA 94583-4066
(925) 828-0824
(925) 828-3426
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59856
CA
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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