Said Jalil Sadri, DMD
Dentist, Prosthodontics in Oakland, CA. Individual provider (NPI-1).
NPI number1093246795
StatusActive
Last updated in NPPESMar 23, 2017
Details
- NPI
- 1093246795
- Entity type
- Individual (NPI-1)
- Name
- Said Jalil Sadri
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2017
- Last updated
- Mar 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 49985 | CA | Yes |
| 122300000X | Dentist | 49985 | CA | |
| 1223G0001X | Dentist, General Practice | 49985 | CA |
Other names
- Seyed Jalil Sadri Ghisar (Other Name)
Practice location
5939 La Salle AveOakland, CA 94611-3225
Phone 510-292-1771
Mailing address
5939 La Salle AveOakland, CA 94611-3225
Phone 510-292-1771
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