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

MERSEDEH POURADIB, D.D.S

Active Sole Proprietor

MERSEDEH POURADIB, D.D.S is a Dentist healthcare provider located in SANTA ROSA, California. NPI 1639314677 is currently active in the NPPES registry. Verify at CMS.

Dentist · SANTA ROSA, CA

Registration Details

NPI Number
1639314677
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2008 (17.682330191578 yrs)
Last Updated
Dec 4, 2008
License
45604 (CA)
Sole Proprietor
Yes

Practice Information

Address
2801 YULUPA AVE
SANTA ROSA, CA, 954059115
Browse CA providers · Browse ZIP 95405
Phone
7075448338
Fax
7075448338
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SANTA ROSA, CA

Name Credential NPI
NICOLE N LE DDS 1629059837
DR. STANLEY LEONG QUOCK DDS 1487617676
DR. ALEXANDRE PINHEIRO FRADE D.D.S. 1457317869
DR. LUIS M DIAZ DDS INC 1821107624
DR. EDWIN LEONARD DEGOLIA D.D.S. 1508976325
DR. LINNEA JOANNE WESTERBERG DDS 1376637520
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.