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Organization
MAHSA ESFANDIARI, D.D.S., DENTAL CORP.
Active
Organization
MAHSA ESFANDIARI, D.D.S., DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHSA ESFANDIARI DDS (CEO)
(408) 477-0674
Entity
Organization
Contact information
Practice address
14465 S BASCOM AVE STE K, LOS GATOS, CA 95032-2002
(408) 477-0674
Mailing address
1706 MOROCCO DR, SAN JOSE, CA 95125-5823
(408) 477-0674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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