Provider Demographics
NPI:1528281805
Name:AKBARNEJAD-OSHAGH, ARMITA (DDS)
Entity type:Individual
Prefix:DR
First Name:ARMITA
Middle Name:
Last Name:AKBARNEJAD-OSHAGH
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 1:6124 BRIDGESTONE CIR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-7893
Mailing Address - Country:US
Mailing Address - Phone:925-361-7571
Mailing Address - Fax:
Practice Address - Street 1:1810 N OLIVE AVE
Practice Address - Street 2:SUITE2
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2500
Practice Address - Country:US
Practice Address - Phone:209-632-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA429021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice