Keyhani, Jaleh Tina

Keyhani, Jaleh Tina is an individual health care provider with primary practice located at 1590 Webster St Ste E , Fairfield CA 94533-4932. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Keyhani, Jaleh Tina can be contacted via phone (707) 759-5550.

Contact Information

Primary practice address
1590 Webster St Ste E Fairfield CA 94533-4932
Phone: (707) 759-5550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DDS60131 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D5160 Arizona

Profile Details

NPI number 1043214448
LBN Legal business name Keyhani, Jaleh Tina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Apr 22nd, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043214448 NPPES
Arizona MEDICAID 529604

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