| Avanti Dental Group Inc | |
|
5415 Camden Ave 35 San Jose CA 95124-5827 | |
| (408) 266-4100 | |
| (408) 266-4100 |
| Full Name | Avanti Dental Group Inc |
|---|---|
| Speciality | Dentist |
| Location | 5415 Camden Ave, San Jose, California |
| Authorized Official Name and Position | Manijeh Shayesteh (PRESIDENT/DENTIST) |
| Authorized Official Contact | 4082664100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanti Dental Group Inc 5415 Camden Ave Ste#35 San Jose CA 95124-5827 Ph: (408) 266-4100 | Avanti Dental Group Inc 5415 Camden Ave 35 San Jose CA 95124-5827 Ph: (408) 266-4100 |
| NPI Number | 1659504744 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659504744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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