Izadi, Bijan

Izadi, Bijan is an individual health care provider with primary practice located at 925 Bevins Ct , Lakeport CA 95453-9754. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Izadi, Bijan can be contacted via phone (707) 263-8382.

Contact Information

Primary practice address
925 Bevins Ct Lakeport CA 95453-9754
Phone: (707) 263-8382
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 29452 Texas
Dental Providers / General Practice 1223G0001X 62719 California

Profile Details

NPI number 1689008336
LBN Legal business name Izadi, Bijan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2013
Last updated Jul 14th, 2014 - 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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