Tavakolian, Pardis
Tavakolian, Pardis is an sole proprietor health care provider with primary practice located at 2041 Pioneer Ct Ste 100 , San Mateo CA 94403-1729. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Tavakolian, Pardis can be contacted via phone (650) 573-0628.Contact Information
Primary practice address
2041 Pioneer Ct Ste 100
San Mateo CA 94403-1729
Phone: (650) 573-0628
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 100800 | California |
| Dental Providers / General Practice | 1223G0001X | DDS100800 | California |
Profile Details
| NPI number | 1932656949 |
|---|---|
| LBN Legal business name | Tavakolian, Pardis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2016 |
| Last updated | Aug 11th, 2022 - about 4 years 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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