Nassiri, Mahdad
Nassiri, Mahdad is an sole proprietor health care provider with primary practice located at 1416 Professional Dr Ste 202 , Petaluma CA 94954-5108. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Nassiri, Mahdad can be contacted via phone (707) 769-1162.Contact Information
Primary practice address
1416 Professional Dr Ste 202
Petaluma CA 94954-5108
Phone: (707) 769-1162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DDS100289 | California |
Profile Details
| NPI number | 1891136768 |
|---|---|
| LBN Legal business name | Nassiri, Mahdad |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2013 |
| Last updated | Sep 16th, 2023 - about last year |
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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