Individual provider · Type 1 NPI

Ardavan Fateh

Periodontics · San Francisco, CA

NPI number 1053630780 Active

Practice location

2355 Ocean Ave
San Francisco, CA 94127-2600

Call (415) 333-1173 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDL10896 (MA)
Periodontics 1223P0300X00201945 (CO)
Periodontics Primary 1223P0300X60303 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1053630780

Ardavan Fateh's National Provider Identifier is 1053630780, issued on May 20, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Francisco, CA. The record was last updated on Sep 16, 2015.