Individual provider · Type 1 NPI

Mersedeh Pouradib, D.D.S

Dentist · Santa Rosa, CA

NPI number 1639314677 Active

Practice location

2801 Yulupa Ave
Santa Rosa, CA 95405-9115

Fax (707) 544-8338

Mailing address

30 Runningbrook
Irvine, CA 92620-1215

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X45604 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1639314677

Mersedeh Pouradib, D.D.S's National Provider Identifier is 1639314677, issued on Dec 4, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 4, 2008.