A Miracle Smile by Dr. Dezham Dental Group
Organization Active NPI Dentist · Sacramento, CA
NPI 1770775447 · NPPES record last updated Aug 15, 2007
Key facts
- NPI
- 1770775447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 52801 (CA)
- Legal business name
- A MIRACLE SMILE BY DR. DEZHAM DENTAL GROUP
- Practice address
- 2131 Capitol Ave
Suite 100
Sacramento, CA 95816-5755 - Phone
- (916) 441-3311
- Fax
- (916) 441-0630
- NPI assigned
- Aug 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Hassan Dezham
- Title
- Owner
- Phone
- (916) 441-3311
Practitioners 3
-
Esfandiar Abadi, DDS
-
Hassan M. Dezham, DDS
-
Francisco D Valenton, DDS
National Provider Directory
Locations
2131 Capitol Ave
Ste 100
Sacramento, CA 95816
Phone (916) 441-3311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 52801 | CA | Yes |
Addresses
Primary practice location
2131 Capitol Ave
Suite 100
Sacramento, CA 95816-5755
Mailing address
2131 Capitol Ave Ste 100
Sacramento, CA 95816-5755
Phone (916) 441-3311
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- A Different Path
- A Friend for Life Home Care LLC
- A Mindful Path to Mental Health Inc
- A Miracle Smile by Dr. Dezham Dental Group Inc.
- A Scott Grivas III DDS Inc
- A Senior Connection
- A Touch of Faith Resource Center
- A V a I L Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.