Provider Demographics
NPI:1124471313
Name:ALIABADI, SHARMIN (RDHAP)
Entity type:Individual
Prefix:
First Name:SHARMIN
Middle Name:
Last Name:ALIABADI
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1267 SEYMOUR CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-3236
Mailing Address - Country:US
Mailing Address - Phone:408-427-6160
Mailing Address - Fax:
Practice Address - Street 1:1267 SEYMOUR CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-3236
Practice Address - Country:US
Practice Address - Phone:408-427-6160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA631124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist