Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pardis Tavakolian

Individual provider General Practice Dentistry · NPI 1932656949

Pardis Tavakolian is a General Practice Dentistry in San Mateo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2041 Pioneer Ct Ste 100
San Mateo, CA 94403-1729
Phone: (650) 573-0628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DDS100800 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 100800 (CA)

Record details

NPI number1932656949
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2016
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address2041 Pioneer Ct Ste 100, San Mateo, CA 94403-1729

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