| Siavash Dehghani D.m.d. Dental Corp. | |
|
14465 S Bascom Ave K Los Gatos CA 95032 | |
| (408) 371-1070 | |
| Not Available |
| Full Name | Siavash Dehghani D.m.d. Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14465 S Bascom Ave, Los Gatos, California |
| Authorized Official Name and Position | Siavash Dehghani (PRESIDENT) |
| Authorized Official Contact | 6174625483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siavash Dehghani D.m.d. Dental Corp. 450 Sutter St 2500 San Francisco CA 94108-4206 Ph: () - | Siavash Dehghani D.m.d. Dental Corp. 14465 S Bascom Ave K Los Gatos CA 95032 Ph: (408) 371-1070 |
| NPI Number | 1689181745 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 01/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689181745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 64099 (California) | Primary |
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