Individual
MR. ALI HEIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 O'CONNOR DRIVE, SUITE # 33, SAN JOSE, CA 95128-1647
(408) 287-5704
(408) 287-0415
Mailing address
100 OCONNOR DR, SUITE # 33, SAN JOSE, CA 95128-1647
(408) 287-5704
(408) 287-0415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46264
CA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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