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Organization
AMIR HAGHSHENAS DDS
Active
Organization
AMIR HAGHSHENAS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR HAGHSHENAS DDS (OWNER)
(408) 377-5134
Entity
Organization
Contact information
Practice address
3880 S BASCOM AVE STE 213, SAN JOSE, CA 95124-2675
(408) 377-5134
(408) 371-1675
Mailing address
3880 S BASCOM AVE STE 213, SAN JOSE, CA 95124-2675
(408) 377-5134
(408) 371-1675
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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