Provider Demographics
NPI:1457565624
Name:JAFARNIA, AZADEH (DDS)
Entity Type:Individual
Prefix:DR
First Name:AZADEH
Middle Name:
Last Name:JAFARNIA
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 1:301 SYCAMORE VALLEY RD W
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3949
Mailing Address - Country:US
Mailing Address - Phone:925-389-8949
Mailing Address - Fax:925-884-1725
Practice Address - Street 1:301 SYCAMORE VALLEY RD W
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3949
Practice Address - Country:US
Practice Address - Phone:925-389-8949
Practice Address - Fax:925-884-1725
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA515961223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry