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Dr. Navid Fardanesh, DDS
General Practice Dentistry in San Luis Obispo, California
NPI 1174541908

Navid Fardanesh is a General Practice Dentistry based in San Luis Obispo, CA and is specialized in General Practice. Navid Fardanesh practices in San Luis Obispo, CA and has the professional credentials of DDS. The NPI Number for Navid Fardanesh is 1174541908 and holds a License No. 44587 (California).

The current practice location address for Navid Fardanesh is 2191 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-5503.

Location: 2191 Johnson Ave, San Luis Obispo, CA, 93401-4534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174541908
Provider Name
Navid Fardanesh
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2191 Johnson Ave, San Luis Obispo, CA, 93401-4534
Phone Number
805-781-5503
Fax Number
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2191 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4534
Phone Number
805-781-5503
Fax Number
person
Provider Business Mailing Address Details
Address
2191 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4534
Phone Number
805-781-5503
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
44587 (California)
Definition
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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