Doctor Name: | DR. MAHMOUD H ASHRAFI |
NPI Number: | 1104037761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | 41058 |
Business Practice Address: | 1501 Bollinger Canyon Road #b San Ramon, CA - 94583 |
Business Phone Number: | 9258200303 |
Business Fax Number: | 9258207379 |
Mailing Address: | 600 Dunhill Drive, DANVILLE |
State: | CA |
Postal Code: | 94506 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 41058 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |