Organization
FARA SHAHANI, DMD, INC.
Active
Other names
Golden State Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARANAK SHAHANI DMD (PRESIDENT)
(650) 494-1900
Entity
Organization
Contact information
Practice address
3515 ALMA ST, PALO ALTO, CA 94306-3539
(650) 494-1900
Mailing address
3515 ALMA ST, PALO ALTO, CA 94306-3539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61061
CA
124Q00000X
Dental Hygienist
—
CA
261QD0000X
Dental Clinic/Center
Primary
13410
CA
Other
Enumeration date
05/17/2017
Last updated
05/18/2017
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