Individual provider · NPI-1

Dr. David A Abazari, DMD

Dentist, Pediatric Dentistry · Mountain View, CA

NPI number1639738149
StatusActive
Last updated in NPPESOct 14, 2021

Details

NPI
1639738149
Entity type
Individual (NPI-1)
Name
Dr. David A Abazari
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 8, 2019
Certification date
Oct 14, 2021
Last updated
Oct 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry106533CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1704 Miramonte Ave Ste 91704
Mountain View, CA 94040-3766

Phone 650-282-5758

Mailing address

34 Faenza
Newport Coast, CA 92657-1601

Phone 949-400-7991

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