Rozita Bahadori, DDS Valid NPI
Individual provider · General Practice Dentistry · Tracy, CA
- NPI
- 1346325511
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 52242 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-26
- Last updated
- 2007-07-08
Practice location
2990 W Grant Line Rd
Tracy, CA 95304-7901
(209) 830-7797