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Dr. Omid Mirfendereski, DDS
Student in an Organized Health Care Education/Training Program in San Francisco, California
NPI 1891369641

Omid Mirfendereski is a Student in an Organized Health Care Education/Training Program based in Santa Clara, CA. Omid Mirfendereski practices in San Francisco, CA and has the professional credentials of DDS. The NPI Number for Omid Mirfendereski is 1891369641 and holds a License No. (California).

The current practice location address for Omid Mirfendereski is 707 Parnassus Ave, San Francisco, CA and can be reached out via phone at 415-476-3276.

Location: 707 Parnassus Ave, San Francisco, CA, 95055-3623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891369641
Provider Name
Omid Mirfendereski
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
707 Parnassus Ave, San Francisco, CA, 95055-3623
Phone Number
415-476-3276
Fax Number
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 Parnassus Ave
City
San Francisco
State
California
Zip
94143-2210
Phone Number
415-476-3276
Fax Number
person
Provider Business Mailing Address Details
Address
707 Parnassus Ave
City
San Francisco
State
California
Zip
94143-2210
Phone Number
415-476-3276
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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