Provider Demographics
NPI:1871709386
Name:MORSHEDI DENTAL CORPORATION
Entity type:Organization
Organization Name:MORSHEDI DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZANIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSHEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-494-1122
Mailing Address - Street 1:3505 ALMA ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3539
Mailing Address - Country:US
Mailing Address - Phone:650-494-1122
Mailing Address - Fax:650-493-1146
Practice Address - Street 1:3505 ALMA ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3539
Practice Address - Country:US
Practice Address - Phone:650-494-1122
Practice Address - Fax:650-493-1146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA468921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty