Individual provider · NPI-1
Nooshin Basseri
Advanced Practice Dental Therapist · San Carlos, CA
NPI number1689002925
StatusActive
Last updated in NPPESJul 4, 2026
Details
- NPI
- 1689002925
- Entity type
- Individual (NPI-1)
- Name
- Nooshin Basseri
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2013
- Certification date
- Jul 4, 2026
- Last updated
- Jul 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125K00000X | Advanced Practice Dental Therapist | 462 | CA | Yes |
Practice location
809 Laurel StSan Carlos, CA 94070-7781
Phone 650-400-4052
Mailing address
809 Laurel StSan Carlos, CA 94070-7781
Phone 650-400-4052
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