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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