Individual provider · Type 1 NPI

Sudabeh Z. Moavenian, DDS, MS

Periodontics · Fremont, CA

NPI number 1528156809 Active

Practice location

39340 Fremont Blvd
Fremont, CA 94538-1320

Call (510) 739-3889 Map

Mailing address

100 Bahama Ct
San Ramon, CA 94582-1403

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X38333 (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 1528156809

Sudabeh Z. Moavenian, DDS, MS's National Provider Identifier is 1528156809, issued on Oct 11, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fremont, CA. The record was last updated on Jul 8, 2007.