Provider Demographics
NPI:1518685338
Name:A. SAMADIAN DDS INC.
Entity Type:Organization
Organization Name:A. SAMADIAN DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SAMADIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-676-7420
Mailing Address - Street 1:450 SUTTER ST RM 2425
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4210
Mailing Address - Country:US
Mailing Address - Phone:650-323-4222
Mailing Address - Fax:
Practice Address - Street 1:2290 BIRCH ST STE C
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1558
Practice Address - Country:US
Practice Address - Phone:650-323-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty