Fateh, Ardavan

Fateh, Ardavan is an individual health care provider with primary practice located at 2355 Ocean Ave , San Francisco CA 94127-2600. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Fateh, Ardavan can be contacted via phone (415) 333-1173.

Contact Information

Primary practice address
2355 Ocean Ave San Francisco CA 94127-2600
Phone: (415) 333-1173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DL10896 Massachusetts
Dental Providers / Periodontics 1223P0300X 00201945 Colorado
Dental Providers / Periodontics 1223P0300X 60303 California

Profile Details

NPI number 1053630780
LBN Legal business name Fateh, Ardavan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2010
Last updated Sep 16th, 2015 - about 10 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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