Individual provider · Type 1 NPI
Michael Sedaghatfar, DMD, M.S.
Periodontics · San Rafael, CA
NPI number
1457530164
Active
Practice location
711 D St, Suite 107
San Rafael, CA 94901-3707
Fax (415) 482-9902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 55862 (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 1457530164
Michael Sedaghatfar, DMD, M.S.'s National Provider Identifier is 1457530164, issued on Oct 30, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Rafael, CA. The record was last updated on Apr 1, 2025.