Sulmaan Hassan DDS INC.
Clinic/Center, Dental in Boulder Creek, CA. Organization (NPI-2).
NPI number1124633151
StatusActive
Last updated in NPPESSep 15, 2020
Details
- NPI
- 1124633151
- Entity type
- Organization (NPI-2)
- Legal business name
- Sulmaan Hassan DDS INC.
- Organization subpart
- No
- Enumeration date
- Sep 15, 2020
- Certification date
- Sep 15, 2020
- Last updated
- Sep 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
12880 Highway 9Boulder Creek, CA 95006-9114
Phone 831-338-1888
Mailing address
13893 Lynde AveSaratoga, CA 95070-5310
Phone 408-621-6773
Authorized official
Sulmaan Hassan
Ceo
4086216773
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