Fatemeh Dehestani Dds, Inc.

NPI 1720400344 - Dentist - 1223G0001X

NPI Details
NPI 1720400344
Enumeration Date 01/16/2014
Last Updated 01/16/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name FATEMEH FATEMEH
Position PRESIDENT
Phone (805) 379-2288
Fax (805) 379-2281
Practice Location
1429 E THOUSAND OAKS BLVD
STE 101
THOUSAND OAKS CA, 91362-2801, US
Phone (805) 379-2288
Fax (805) 379-2281
Business Location
1429 E THOUSAND OAKS BLVD
STE 101
THOUSAND OAKS CA, 91362-2801, US
Phone (805) 379-2288
Fax (805) 379-2281
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 49509
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According to our database, Fatemeh Dehestani Dds, Inc. NPI is 1720400344, taxonomy code is 1223G0001X and license number is 49509, license state is located at California. Fatemeh Dehestani Dds, Inc. physically located at 1429 E Thousand Oaks Blvd, Thousand Oaks CA, 91362-2801. NPI Number 1033115704 has the healthcare provider type.

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1720400344 NPI number is provided on an as is basis without warranty of any kind. 1720400344 is maintained by the National Plan & Provider Enumeration System. The contents of Fatemeh Dehestani Dds, Inc. are for informational purposes only.