| Tooth Mobile | |
|
1659 Scott Blvd # 4 Santa Clara CA 95050 | |
| (408) 879-0110 | |
| Not Available |
| Full Name | Tooth Mobile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1659 Scott Blvd # 4, Santa Clara, California |
| Authorized Official Name and Position | Alireza Parhizkari (CEO) |
| Authorized Official Contact | 4088790110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Mobile 1659 Scott Blvd Ste 4 Santa Clara CA 95050-4137 Ph: (408) 879-0110 | Tooth Mobile 1659 Scott Blvd # 4 Santa Clara CA 95050 Ph: (408) 879-0110 |
| NPI Number | 1679620140 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679620140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38109 (California) | Primary |
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