Provider Demographics
NPI:1558466250
Name:ALAVI, FARIDA HEYDARI (DDS)
Entity Type:Individual
Prefix:MRS
First Name:FARIDA
Middle Name:HEYDARI
Last Name:ALAVI
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 1:10251 TORRE AVE
Mailing Address - Street 2:SUITE #160
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014
Mailing Address - Country:US
Mailing Address - Phone:408-252-7525
Mailing Address - Fax:408-252-7781
Practice Address - Street 1:10251 TORRE AVE
Practice Address - Street 2:SUITE #160
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014
Practice Address - Country:US
Practice Address - Phone:408-252-7525
Practice Address - Fax:408-252-7781
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA437491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice