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

Individual provider Dental Hygienist · NPI 1891941597

Shapour Etemadzadeh, RDH is a Dental Hygienist in San Diego, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

3490 Palm Ave
San Diego, CA 92154
Phone: (619) 423-1351
Fax: (619) 423-1407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence RDH 15077 (CA)

Record details

NPI number1891941597
Entity typeIndividual (Type 1)
GenderMale
Credentials RDH
Sole proprietorNo
NPI enumeratedAugust 13, 2008
Last updated in NPPESAugust 13, 2008

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