Individual
ADEENA MOHTASHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5890 STONERIDGE DR STE 108, PLEASANTON, CA 94588-5825
(702) 927-5194
Mailing address
40890 MARTY TER, FREMONT, CA 94539-4459
(702) 927-5194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS109240
CA
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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