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Organization

R K NASSIRI, DDS, MSD, INC

Active
Other names
Lamorinda Smile
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMTIN NASSIRI D.D.S., M.S.D. (PRESIDENT)
(925) 298-5281
Entity
Organization

Contact information

Practice address
3466 MT DIABLO BLVD, SUITE C207, LAFAYETTE, CA 94549-7106
(925) 298-5281
(925) 298-5419
Mailing address
3466 MT DIABLO BLVD, SUITE C207, LAFAYETTE, CA 94549-7106
(925) 298-5281
(925) 298-5419

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
53997
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
55427
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
54020
CA
261QD0000X
Dental Clinic/Center
Primary
54020
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124121231
INDIVIDUAL NPI
CA
Enumeration date
03/16/2017
Last updated
03/16/2017
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