Healthcare Provider Details

I. General information

NPI: 1235367723
Provider Name (Legal Business Name): CYRUS ABRAHAM SALEHI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 DELANCEY ST #309
SAN FRANCISCO CA
94107-1432
US

IV. Provider business mailing address

501 DELANCEY ST #309
SAN FRANCISCO CA
94107-1432
US

V. Phone/Fax

Practice location:
  • Phone: 415-298-9450
  • Fax:
Mailing address:
  • Phone: 415-298-9450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number54028
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: