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Organization
SHIRIN SHAHINFAR IMANI DDS INC
Active
Organization
SHIRIN SHAHINFAR IMANI DDS INC
Active
Other names
Foster City Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRIN SHAHINFAR IMANI DDS (PRESIDENT)
(650) 577-1988
Entity
Organization
Contact information
Practice address
675 MARINERS ISLAND BLVD, SUITE 110, SAN MATEO, CA 94404-1062
(650) 577-1988
(650) 577-0835
Mailing address
675 MARINERS ISLAND BLVD, SUITE 110, SAN MATEO, CA 94404-1062
(650) 577-1988
(650) 577-0835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11948
UNITED HEALTHCARE
UT
01
—
868252
UNITED CONCORDIA
PA
Enumeration date
07/13/2005
Last updated
08/22/2020
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