Individual
DR. SHAHRAM TAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
704 BLOSSOM HILL RD, SUITE 104, SAN JOSE, CA 95123-5403
(408) 226-0323
(408) 226-4418
Mailing address
704 BLOSSOM HILL RD, SUITE 104, SAN JOSE, CA 95123-5403
(408) 226-0323
(408) 226-4418
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
43736
CA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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