Organization · Type 2 NPI
Azar Mahmoudi,dds,corp
Dental Clinic/Center · San Ramon, CA
NPI number
1790200962
Active
Practice location
2819 Crow Canyon Rd Ste 104
San Ramon, CA 94583-1656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1790200962
Azar Mahmoudi,dds,corp's National Provider Identifier is 1790200962, issued on Aug 9, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Ramon, CA. The record was last updated on Apr 24, 2018.