Shiva Mohtasham DDS

NPI 1104088806 - Dentist - 122300000X

NPI Details
NPI 1104088806
Gender Female
Enumeration Date 06/25/2008
Last Updated 06/25/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1210 E ARQUES AVE STE 201
SUNNYVALE CA, 94085-5422, US
Phone (510) 226-1614
Fax
Business Location
1210 E ARQUES AVE STE 201
SUNNYVALE CA, 94085-5422, US
Phone (510) 226-1614
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 51976
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According to our database, Dr. Shiva Mohtasham DDS NPI is 1104088806, taxonomy code is 122300000X and license number is 51976, license state is located at California. Shiva Mohtasham DDS physically located at 1210 E Arques Ave Ste 201, Sunnyvale CA, 94085-5422. NPI Number Shiva Mohtasham DDS has the Individual type.

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1104088806 NPI number is provided on an as is basis without warranty of any kind. 1104088806 is maintained by the National Plan & Provider Enumeration System. The contents of Shiva Mohtasham DDS are for informational purposes only.