Provider Demographics
NPI:1841409372
Name:HADAMEH, NAHID (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAHID
Middle Name:
Last Name:HADAMEH
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 1:1210 E ARQUES AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-5421
Mailing Address - Country:US
Mailing Address - Phone:408-746-0306
Mailing Address - Fax:408-746-0397
Practice Address - Street 1:1210 E ARQUES AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-5421
Practice Address - Country:US
Practice Address - Phone:408-746-0306
Practice Address - Fax:408-746-0397
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA445971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice