| Shantiakazemi Dds Apc | |
|
2025 Forest Ave Ste 3 San Jose CA 95128-4806 | |
| (408) 294-6624 | |
| Not Available |
| Full Name | Shantiakazemi Dds Apc |
|---|---|
| Speciality | Dentist |
| Location | 2025 Forest Ave Ste 3, San Jose, California |
| Authorized Official Name and Position | Shantia Kazemi Esfeh (OWNER) |
| Authorized Official Contact | 4082946624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shantiakazemi Dds Apc 548 Placitas Ave Menlo Park CA 94025-1930 Ph: () - | Shantiakazemi Dds Apc 2025 Forest Ave Ste 3 San Jose CA 95128-4806 Ph: (408) 294-6624 |
| NPI Number | 1093597767 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093597767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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