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NPI Code Detail

MEDICARE: ZOHREH EFTEKHARI DDS

MEDICARE: ZOHREH EFTEKHARI DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist104373CA

General Provider Information

NPI Number : 1326696055
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOHREH EFTEKHARI DDS
Provider Business Mailing Address
First Line : 4401 FLORIN RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-2511
Country : US
Telephone Number : 415-464-7783
Fax Number :
Provider Business Practice Location Address
First Line : 4401 FLORIN RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-2511
Country : US
Telephone Number : 415-464-7783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2019
Last Update Date : 08/27/2019

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Directions to “ ZOHREH EFTEKHARI DDS” Practice Location

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