Provider Demographics
NPI:1336249036
Name:AGAH, SEPIDEH HOKMABADI (DDS)
Entity type:Individual
Prefix:DR
First Name:SEPIDEH
Middle Name:HOKMABADI
Last Name:AGAH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 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:650-855-0888
Mailing Address - Fax:650-855-0887
Practice Address - Street 1:3517 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:650-855-0888
Practice Address - Fax:650-855-0887
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA535041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice