Individual
MEHRAN FOTOVATJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1805 EL CAMINO ROAD, SUITE 201, PALO ALTO, CA 94326
(650) 328-1860
(650) 329-7950
Mailing address
1805 EL CAMINO ROAD, SUITE 201, PALO ALTO, CA 94326
(650) 328-1860
(650) 329-7950
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
41173
CA
Other
Enumeration date
03/26/2007
Last updated
10/15/2020
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