Tavakolian Dds, Inc.

LBN: Tavakolian Dds, Inc.
Tavakolian Dds, Inc. is an health care organization with primary practice located at 2041 Pioneer Ct Ste 100 , San Mateo CA 94403-1729. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Tavakolian Dds, Inc. can be contacted via phone (240) 750-9239, or through Tavakolian, Pardis via phone (240) 750-9239.

Contact Information

Primary practice address
2041 Pioneer Ct Ste 100 San Mateo CA 94403-1729
Phone: (240) 750-9239
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tavakolian, Pardis Doctor of Dental Surgery (DDS)
Phone: (240) 750-9239

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1104552231
LBN Legal business name Tavakolian Dds, Inc.
DBA Doing business as
Authorized official Tavakolian, Pardis Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2022
Last updated Nov 20th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104552231 NPPES
California Other 1932656949 NPI TYPE 1

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