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DR. SEPIDEH G. KHOMJANI D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1205091030
Individual Registrant:DR. SEPIDEH G. KHOMJANI D.D.S.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
325 SAN RAFAEL AVE BELVEDERE, CA 94920-2333 US
Tel: 415-676-1093 Fax: --
Tel: 415-676-1093 Fax: --
Contact information for business:
325 SAN RAFAEL AVE BELVEDERE, CA 94920-2333 US
Tel: 415-676-1093 Fax: --
Tel: 415-676-1093 Fax: --
Registration Information:
NPI: 1205091030
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 57289 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
