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Rose Dastmalchi, DDS
Periodontist in Walnut Creek, California
NPI 1487886214

Rose Dastmalchi is a Periodontist based in Walnut Creek, CA and is specialized in Periodontics. Rose Dastmalchi practices in Walnut Creek, CA and has the professional credentials of DDS. The NPI Number for Rose Dastmalchi is 1487886214 and holds a License No. 36910 (California).

The current practice location address for Rose Dastmalchi is 301 Lennon Ln, Walnut Creek, CA and can be reached out via phone at 925-937-2100 and via fax at 925-937-2100.

Location: 301 Lennon Ln, Walnut Creek, CA, 94598-2483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487886214
Provider Name
Rose Dastmalchi
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
301 Lennon Ln, Walnut Creek, CA, 94598-2483
Phone Number
925-937-2100
Fax Number
925-937-2100
Provider Enumeration Date
08/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36910 01 CA STATE LICENSE
036910 01 CA DELTA DENTAL
institution
Provider Business Practice Location Address Details
Address
301 Lennon Ln
City
Walnut Creek
State
California
Zip
94598-2483
Phone Number
925-937-2100
Fax Number
925-937-2100
person
Provider Business Mailing Address Details
Address
301 Lennon Ln
City
Walnut Creek
State
California
Zip
94598-2483
Phone Number
925-937-2100
Fax Number
925-937-2100
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
36910 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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