NPI 1164612446 · live from the CMS NPI Registry
A. M. Ashtiani, A Professional Corporation
Dentist, Endodontics in Petaluma, CA. National Provider Identifier 1164612446, active.
NPI record
| NPI | 1164612446 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Endodontics 1223E0200X |
| Practice location | 30 W El Rose Dr, Petaluma, CA 94952 |
| Practice phone | 707-789-9399 |
| Enumerated | August 1, 2007 |
| Last updated | March 21, 2012 |
| Authorized official | Andy Ashtiani, President |
| Other names | North Bridge Endodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics primary | 1223E0200X | 38081 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.