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Contact Information

FARIDEH GHODDUSI TABARSI, DDS
2051 JOHN JONES RD
DAVIS, CA95616
 Phone: 530-758-1510
 Fax: 530-758-1510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for FARIDEH GHODDUSI TABARSI · (Female)

NPI # 1093759987
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/15/2006
Last updated 12/08/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 39640
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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