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Organization
SAMANEH DAFTARIAN DENTAL CORP
Active
Organization
SAMANEH DAFTARIAN DENTAL CORP
Active
Other names
Menlo Park Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANEH DAFTARIAN DDS (PRESIDENT)
(832) 331-3660
Entity
Organization
Contact information
Practice address
625 MENLO AVE, MENLO PARK, CA 94025-4747
(650) 324-9272
Mailing address
2326 RAMONA ST, PALO ALTO, CA 94301-4131
(832) 331-3660
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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