Organization
AZAR MAHMOUDI,DDS,CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZAR MAHMOUDI (PRESIDENT)
(925) 997-5957
Entity
Organization
Contact information
Practice address
2819 CROW CANYON RD STE 104, SAN RAMON, CA 94583-1656
(925) 837-2225
Mailing address
2819 CROW CANYON RD STE 104, SAN RAMON, CA 94583-1656
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
04/24/2018
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