Individual
DR. BAHMAN MORADALI MEHDIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2516 SAMARITAN DR, SUITE L, SAN JOSE, CA 95124-4108
(408) 358-5500
(408) 358-5502
Mailing address
2516 SAMARITAN DR, SUITE L, SAN JOSE, CA 95124-4108
(408) 358-5500
(408) 358-5502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39840
CA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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