Individual
SHANTIA KAZEMI ESFEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
625 MENLO AVE, MENLO PARK, CA 94025-4747
(650) 324-9272
Mailing address
625 MENLO AVE, MENLO PARK, CA 94025-4747
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
106991
CA
Other
Enumeration date
09/05/2018
Last updated
10/26/2021
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