| Organization Name: | KOUROSH HARANDI DDS. MS. INC. |
| NPI Number: | 1215051453 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KOUROSH HARANDI (OWNER) |
| Mailing Address: | 1500 Tara Hills Dr Suite 202 Pinole |
| State: | CA US |
| Postal Code: | 945642577 |
| Phone Number: | 5107243666 |
| Fax Number: | 5107245923 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 52802 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |