Individual
MR. AMIR REZA GHORBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3351 EL CAMINO REAL, #222, ATHERTON, CA 94027-3811
(650) 299-9999
(650) 299-9996
Mailing address
726 BICKNELL RD, LOS GATOS, CA 95030-2148
(925) 918-0592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50602
CA
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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