Individual provider · Type 1 NPI

Hoorshad Fathi-Kelly, DDS

Periodontics · San Francisco, CA

NPI number 1821751611 Active

Practice location

707 Parnassus Ave
San Francisco, CA 94143-2210

Mailing address

PO Box 102
Livermore, CA 94551-0102

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X107062 (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 1821751611

Hoorshad Fathi-Kelly, DDS's National Provider Identifier is 1821751611, issued on Oct 19, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Francisco, CA. The record was last updated on Oct 19, 2021.