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Dr. Shahram Taheri, DDS,MS
Pediatric Dentist in San Jose, California
NPI 1972522209

Shahram Taheri is a Pediatric Dentist based in San Jose, CA and is specialized in Pediatric Dentistry. Shahram Taheri practices in San Jose, CA and has the professional credentials of DDS,MS. The NPI Number for Shahram Taheri is 1972522209 and holds a License No. 43736 (California).

The current practice location address for Shahram Taheri is 704 Blossom Hill Rd, San Jose, CA and can be reached out via phone at 408-226-0323 and via fax at 408-226-4418.

Location: 704 Blossom Hill Rd, San Jose, CA, 95123-5403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972522209
Provider Name
Shahram Taheri
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
704 Blossom Hill Rd, San Jose, CA, 95123-5403
Phone Number
408-226-0323
Fax Number
408-226-4418
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
704 Blossom Hill Rd
City
San Jose
State
California
Zip
95123-5403
Phone Number
408-226-0323
Fax Number
408-226-4418
person
Provider Business Mailing Address Details
Address
704 Blossom Hill Rd
City
San Jose
State
California
Zip
95123-5403
Phone Number
408-226-0323
Fax Number
408-226-4418
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
43736 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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