| Haghpanah Dental Corporation | |
|
150 N Jackson Ave Ste 110 San Jose CA 95116-1908 | |
| (408) 471-2943 | |
| Not Available |
| Full Name | Haghpanah Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 150 N Jackson Ave Ste 110, San Jose, California |
| Authorized Official Name and Position | Michelle Haghpanah (PRESIDENT) |
| Authorized Official Contact | 6503229837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haghpanah Dental Corporation 853 Middlefield Rd Ste 2 Palo Alto CA 94301-2919 Ph: (650) 322-9837 | Haghpanah Dental Corporation 150 N Jackson Ave Ste 110 San Jose CA 95116-1908 Ph: (408) 471-2943 |
| NPI Number | 1861183543 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861183543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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