Individual provider · Type 1 NPI

Maryam Mahmoodi Deezaje, DDS

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1508794710 Active

Practice location

77 Cadillac Dr Ste 200
Sacramento, CA 95825-8337

Call (916) 454-2345 Map

Mailing address

3301 5th Ave
Sacramento, CA 95817-3101

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6 other providers at this address

Other student in an organized health care education/training program providers in Sacramento

See all in Sacramento →

About NPI 1508794710

Maryam Mahmoodi Deezaje, DDS's National Provider Identifier is 1508794710, issued on May 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on May 11, 2026.