Dr. Navid Fardanesh, D.D.S
Dentist, General Practice in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1174541908
StatusActive
Last updated in NPPESFeb 26, 2016
Details
- NPI
- 1174541908
- Entity type
- Individual (NPI-1)
- Name
- Dr. Navid Fardanesh
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2006
- Last updated
- Feb 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 44587 | CA | Yes |
Practice location
2191 Johnson AveSan Luis Obispo, CA 93401-4534
Phone 805-781-5503
Mailing address
2191 Johnson AveSan Luis Obispo, CA 93401-4534
Phone 805-781-5503 · Fax 805-781-5503
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All 57 General Practice Dentistry providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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