Dastmalchi, Rose
Dastmalchi, Rose is an sole proprietor health care provider with primary practice located at 301 Lennon Ln Suite 101, Walnut Creek CA 94598-2483. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Dastmalchi, Rose can be contacted via phone (925) 937-2100.Contact Information
Primary practice address
301 Lennon Ln Suite 101
Walnut Creek CA 94598-2483
Phone: (925) 937-2100
Fax: (925) 937-2100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 36910 | California |
Profile Details
| NPI number | 1487886214 |
|---|---|
| LBN Legal business name | Dastmalchi, Rose |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2009 |
| Last updated | Aug 12th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487886214 | NPPES |
| California | Other | 36910 | STATE LICENSE |
| California | Other | 036910 | STATE LICENSE |
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