Individual
BAHAREH BAKHTIARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7028 VIA BARRANCA, SAN JOSE, CA 95139-1118
(408) 410-1029
Mailing address
7028 VIA BARRANCA, SAN JOSE, CA 95139-1118
(408) 410-1029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63790
CA
Other
Enumeration date
08/14/2014
Last updated
07/29/2016
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