Provider Demographics
NPI:1871240754
Name:SAMIRA JABERI DDS INC
Entity Type:Organization
Organization Name:SAMIRA JABERI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SAMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JABERI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:925-818-5869
Mailing Address - Street 1:901 KEARNEY ST
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-2810
Mailing Address - Country:US
Mailing Address - Phone:510-526-1381
Mailing Address - Fax:
Practice Address - Street 1:901 KEARNEY ST
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-2810
Practice Address - Country:US
Practice Address - Phone:510-526-1381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental