Individual
DR. SHAHIN TAGHIKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
704 BLOSSOM HILL RD STE 102, SAN JOSE, CA 95123-5403
(408) 225-5000
(408) 225-5020
Mailing address
704 BLOSSOM HILL RD STE 102, SAN JOSE, CA 95123-5403
(084) 225-5000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12012923A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
64075
CA
Other
Enumeration date
06/19/2014
Last updated
03/25/2024
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