Provider Demographics
NPI:1861207771
Name:MAHDOKHT YOUSEFIAN DDS INC.
Entity type:Organization
Organization Name:MAHDOKHT YOUSEFIAN DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHDOKHT
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSEFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-519-8626
Mailing Address - Street 1:3167 MARTINGALE DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-5001
Mailing Address - Country:US
Mailing Address - Phone:925-519-8626
Mailing Address - Fax:
Practice Address - Street 1:6120 HELLYER AVE STE 125
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95138-1066
Practice Address - Country:US
Practice Address - Phone:408-490-0182
Practice Address - Fax:408-624-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty