OMID MIRFENDERESKI

SAN RAFAEL, CA
NPI1891369641
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  106243)
Enumeration Date2021-05-17
Last Update Date2024-06-16
Business Address
Dr. OMID MIRFENDERESKI DDS, MPH
3110 KERNER BLVD
SAN RAFAEL, CA 94901-5411
Phone number: 415-448-1500
Mailing Address
Dr. OMID MIRFENDERESKI DDS, MPH
PO BOX 3623
SANTA CLARA, CA 95055-3623
Phone number: