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Contact Information

FARDAD TAYEBATY DMD INC
390 S GREEN VALLEY RD STE 7
WATSONVILLE, CA95076-3077
 Phone: 831-536-5880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for FARDAD TAYEBATY DMD INC

NPI Number 1114439015
LBN Legal business name FARDAD TAYEBATY DMD INC
Authorized official FARDAD TAYEBATY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2017
Last updated 10/31/2017 - About 9 years ago
Identifiers
CA License # 100912
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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