Organization
AVANTI DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANIJEH SHAYESTEH (PRESIDENT/DENTIST)
(408) 266-4100
Entity
Organization
Contact information
Practice address
5415 CAMDEN AVE, 35, SAN JOSE, CA 95124-5827
(408) 266-4100
(408) 266-4100
Mailing address
5415 CAMDEN AVE, STE#35, SAN JOSE, CA 95124-5827
(408) 266-4100
(408) 266-4106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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