Individual provider · Type 1 NPI
Tracy Tat Kheradpour, DMD
General Practice Dentistry · Mountain View, CA
NPI number
1356718548
Active
Practice location
1950 Montecito Ave Apt 22
Mountain View, CA 94043-4334
Mailing address
1950 Montecito Ave, Apt 22
Mountain View, CA 94043-4334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 64985 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1356718548
Tracy Tat Kheradpour, DMD's National Provider Identifier is 1356718548, issued on Aug 24, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mountain View, CA. The record was last updated on Aug 24, 2015.