Advanta Dental Group

NPI 1104193051 - Dentist - 122300000X

NPI Details
NPI 1104193051
Enumeration Date 11/21/2011
Last Updated 11/21/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SEPIDEH SEPIDEH
Position DENTIST
Phone (510) 596-9000
Fax (510) 596-8800
Practice Location
5915 HOLLIS ST STE A
EMERYVILLE CA, 94608-2066, US
Phone (510) 596-9000
Fax (510) 596-8800
Business Location
5915 HOLLIS ST STE A
EMERYVILLE CA, 94608-2066, US
Phone (510) 596-9000
Fax (510) 596-8800
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 42496
Remove 1104193051 NPI Number
 

According to our database, Advanta Dental Group NPI is 1104193051, taxonomy code is 122300000X and license number is 42496, license state is located at California. Advanta Dental Group physically located at 5915 Hollis St Ste A, Emeryville CA, 94608-2066. NPI Number 1033115704 has the healthcare provider type.

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1104193051 NPI number is provided on an as is basis without warranty of any kind. 1104193051 is maintained by the National Plan & Provider Enumeration System. The contents of Advanta Dental Group are for informational purposes only.