Heydari, Mahnaz M
Heydari, Mahnaz M is an individual health care provider with primary practice located at 2920 Sonoma Blvd Suite A, Vallejo CA 94590. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Heydari, Mahnaz M can be contacted via phone (707) 558-2000.Contact Information
Primary practice address
2920 Sonoma Blvd Suite A
Vallejo CA 94590
Phone: (707) 558-2000
Fax: (707) 644-3507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 53997 | California |
| Dental Providers / Dentist | 122300000X | DDS53997 | California |
Profile Details
| NPI number | 1548355571 |
|---|---|
| LBN Legal business name | Heydari, Mahnaz M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 17th, 2018 - about 6 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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