Shabnam Pedram, MS, DDS
Dentist in Poway, CA. Individual provider (NPI-1).
NPI number1982125498
StatusActive
Last updated in NPPESJul 21, 2026
Details
- NPI
- 1982125498
- Entity type
- Individual (NPI-1)
- Name
- Shabnam Pedram
- Credential
- MS, DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2017
- Certification date
- Jul 21, 2026
- Last updated
- Jul 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 101505 | CA | Yes |
| 1223G0001X | Dentist, General Practice | 101505 | CA |
Practice location
15725 Pomerado Rd Ste 204Poway, CA 92064-2059
Phone 858-485-8420 · Fax 858-485-5773
Mailing address
15725 Pomerado Rd Ste 204Poway, CA 92064-2059
Phone 858-485-8420 · Fax 858-485-5773
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