Individual provider · Type 1 NPI

Omid Mirfendereski, DDS, MPH

Pediatric Dentistry · San Rafael, CA

NPI number 1891369641 Active

Practice location

3110 Kerner Blvd
San Rafael, CA 94901-5411

Call (415) 448-1500 Map

Mailing address

PO Box 3623
Santa Clara, CA 95055-3623

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X106243 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1891369641

Omid Mirfendereski, DDS, MPH's National Provider Identifier is 1891369641, issued on May 17, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Rafael, CA. The record was last updated on Jun 16, 2024.