Individual provider · Type 1 NPI

Maryam Mohamadi

General Practice Dentistry · San Luis Obispo, CA

NPI number 1982589222 Active

Practice location

3870 Broad St Ste 1
San Luis Obispo, CA 93401-7172

Call (805) 309-0467 Map

Mailing address

1889 Vicente Dr
San Luis Obispo, CA 93405-6856

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X112185 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1982589222

Maryam Mohamadi's National Provider Identifier is 1982589222, issued on Aug 6, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Luis Obispo, CA. The record was last updated on Aug 6, 2025.