| Organization Name: | S. HAKIMI, DDS A PROFESSIONAL CORP |
| NPI Number: | 1013160530 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SOHAIL SEAN HAKIMI (OWNER) |
| Mailing Address: | 1036 W Robinhood Dr Ste 104 Stockton |
| State: | CA US |
| Postal Code: | 952075622 |
| Phone Number: | 2099569650 |
| Fax Number: | 2099569655 |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 10/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 39643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |