Organization
SHAWN TAHERI DDS, MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN TAHERI DDS, MS (PRESIDENT)
(408) 226-0323
Entity
Organization
Contact information
Practice address
704 BLOSSOM HILL RD, SUITE 104, SAN JOSE, CA 95123-5403
(408) 226-0323
Mailing address
704 BLOSSOM HILL RD, SUITE 104, SAN JOSE, CA 95123-5403
(408) 226-0323
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
C43736
CA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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