Individual
MRS. ELHAM MAHDAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1516 VISTA CLUB CIR, #301, SANTA CLARA, CA 95054-3741
(310) 403-2494
Mailing address
1516 VISTA CLUB CIR, #301, SANTA CLARA, CA 95054-3741
(310) 403-2494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59391
CA
Other
Enumeration date
07/27/2010
Last updated
10/12/2010
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