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Contact Information

F MOFTAKHAR DDS A PROFESSIONAL CORP
3301 E 12TH ST STE 163
OAKLAND, CA94601-2939
 Phone: 510-533-1123
 Fax: 510-485-5109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for F MOFTAKHAR DDS A PROFESSIONAL CORP

NPI Number 1063631109
LBN Legal business name F MOFTAKHAR DDS A PROFESSIONAL CORP
Authorized official FARSHAD MOFTAKHAR - (OWNER CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2007
Last updated 07/15/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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