Mersedeh Pouradib D.D.S

NPI 1639314677 - Dentist - 122300000X

NPI Details
NPI 1639314677
Gender Female
Enumeration Date 12/04/2008
Last Updated 12/04/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
SANTA ROSA CA, 95405-9115, US
Phone (707) 544-8338
Fax (707) 544-8338
Business Location
IRVINE CA, 92620-1215, US
Phone (714) 573-2933
Fax (714) 573-2933
Taxonomy Code 122300000X
License State California
License Number 45604
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According to our database, Mersedeh Pouradib D.D.S NPI is 1639314677, taxonomy code is 122300000X and license number is 45604, license state is located at California. Mersedeh Pouradib D.D.S physically located at 2801 Yulupa Ave, Santa Rosa CA, 95405-9115. NPI Number Mersedeh Pouradib D.D.S has the Individual type.

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1639314677 NPI number is provided on an as is basis without warranty of any kind. 1639314677 is maintained by the National Plan & Provider Enumeration System. The contents of Mersedeh Pouradib D.D.S are for informational purposes only.