Individual
DR. TIMOTHY SAMUEL SHAHBAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2111 PARKSIDE DR, SUITE B, FREMONT, CA 94536-5325
(510) 797-9100
(510) 797-3429
Mailing address
2111 PARKSIDE DR, SUITE B, FREMONT, CA 94536-5325
(510) 797-9100
(510) 797-3429
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28087
CA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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