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Tavakolian Dds, Inc.
Dental Clinic/Center in San Mateo, California
NPI 1104552231

Tavakolian Dds, Inc. is a Dental Clinic/Center based in San Mateo, CA and is specialized in Dental. Tavakolian Dds, Inc. practices in San Mateo, CA. The NPI Number for Tavakolian Dds, Inc. is 1104552231 and holds a License No. (California).

The current practice location address for Tavakolian Dds, Inc. is 2041 Pioneer Ct Ste 100, San Mateo, CA and can be reached out via phone at 240-750-9239.

Location: 2041 Pioneer Ct Ste 100, San Mateo, CA, 94403-1729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104552231
Provider Name
Tavakolian Dds, Inc.
Credential
Provider Entity Type
Organization
Address
2041 Pioneer Ct Ste 100, San Mateo, CA, 94403-1729
Phone Number
240-750-9239
Fax Number
Provider Enumeration Date
07/30/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932656949 01 CA NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
2041 Pioneer Ct Ste 100
City
San Mateo
State
California
Zip
94403-1729
Phone Number
240-750-9239
Fax Number
person
Provider Business Mailing Address Details
Address
2041 Pioneer Ct Ste 100
City
San Mateo
State
California
Zip
94403-1729
Phone Number
240-750-9239
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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