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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ARDAVAN FATEH

Active

ARDAVAN FATEH is a Periodontology healthcare provider located in SAN FRANCISCO, California. NPI 1053630780 is currently active in the NPPES registry. Verify at CMS.

Periodontology · SAN FRANCISCO, CA

Registration Details

NPI Number
1053630780
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2010 (16.053444949889 yrs)
Last Updated
Sep 16, 2015
Licenses
DL10896 (MA)
00201945 (CO)
60303 (CA)

Practice Information

Address
2355 OCEAN AVE
SAN FRANCISCO, CA, 941272600
Browse CA providers · Browse ZIP 94127
Phone
4153331173
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in SAN FRANCISCO, CA

Name Credential NPI
DR. GEORGIOS KIURTSIDIS DDS 1194706135
DR. JOHN E. MAZZA DDS 1497704753
RICHARD ARTHUR NAVARRO D.D.S. 1891725784
RANA BAROUDI DMD 1679594519
DR. BRUCE TAKASHI HIURA DDS 1114940921
DR. CRAIG D MUKAI D.D.S. 1932114139
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.