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Organization
FARA SHAHANI, DMD, INC.
Active
Organization
FARA SHAHANI, DMD, INC.
Active
Other names
Golden State Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARANAK SHAHANI DMD (PRESIDENT)
(650) 494-1900
Entity
Organization
Contact information
Practice address
3515 ALMA ST, PALO ALTO, CA 94306-3539
(650) 494-1900
Mailing address
3515 ALMA ST, PALO ALTO, CA 94306-3539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61061
CA
124Q00000X
Dental Hygienist
—
CA
261QD0000X
Dental Clinic/Center
Primary
13410
CA
Other
Enumeration date
05/17/2017
Last updated
05/18/2017
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