# AMIR HAGHSHENAS DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609493170
- **Authorized official:** AMIR HAGHSHENAS DDS (OWNER)
- **Authorized official phone:** (408) 377-5134

## Contact information

- **Practice address:** 3880 S BASCOM AVE STE 213, SAN JOSE, CA 95124-2675
- **Practice address phone:** (408) 377-5134
- **Practice address fax:** (408) 371-1675
- **Mailing address:** 3880 S BASCOM AVE STE 213, SAN JOSE, CA 95124-2675
- **Mailing address phone:** (408) 377-5134
- **Mailing address fax:** (408) 371-1675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2020
- **Last updated:** 07/01/2020