Individual
DAVID RUSTAMZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
3050 E. 16TH ST., OAKLAND, CA 94601-2319
(510) 535-2319
(510) 535-4283
Mailing address
P.O. BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
(510) 535-4128
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
55256
CA
Other
Enumeration date
11/30/2006
Last updated
03/08/2012
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