Provider Demographics
NPI:1568747400
Name:S HOKMABADI DDS INC
Entity Type:Organization
Organization Name:S HOKMABADI DDS INC
Other - Org Name:TOTAL HEALTH DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER /DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SEPAND
Authorized Official - Middle Name:
Authorized Official - Last Name:HOKMABADI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-830-1588
Mailing Address - Street 1:3017 TELEGRAPH AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2049
Mailing Address - Country:US
Mailing Address - Phone:510-849-1500
Mailing Address - Fax:510-849-1511
Practice Address - Street 1:3017 TELEGRAPH AVE STE 300
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2049
Practice Address - Country:US
Practice Address - Phone:510-849-1500
Practice Address - Fax:510-849-1511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty