Provider Demographics
NPI:1689983744
Name:NEDA OROMCHIAN D.D.S, APC
Entity Type:Organization
Organization Name:NEDA OROMCHIAN D.D.S, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:OROMCHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-828-0824
Mailing Address - Street 1:2130 SAN RAMON VALLEY BLV
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:925-828-0824
Mailing Address - Fax:925-828-3426
Practice Address - Street 1:2130 SAN RAMON VALLEY BLV
Practice Address - Street 2:SUITE #2
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583
Practice Address - Country:US
Practice Address - Phone:925-828-0824
Practice Address - Fax:925-828-3426
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEDA OROMCHIAN D.D.S, APC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39692122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty