NPI 1124178140 · live from the CMS NPI Registry
Pouran Dokht Abbaszadeh, D.D.S.
Dentist, General Practice in Hayward, CA. National Provider Identifier 1124178140, active.
NPI record
| NPI | 1124178140 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 27171 Calaroga Ave, Suite # 11, Hayward, CA 94545 |
| Practice phone | 510-264-2000 |
| Enumerated | January 11, 2007 |
| Last updated | May 17, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 40519 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.