Individual provider · Type 1 NPI

Shahram Taheri, DDS, MS

Pediatric Dentistry · San Jose, CA

NPI number 1972522209 Active

Practice location

704 Blossom Hill Rd, Suite 104
San Jose, CA 95123-5403

Call (408) 226-0323 Map

Fax (408) 226-4418

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X43736 (CA)

Pediatric Dentistry: 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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About NPI 1972522209

Shahram Taheri, DDS, MS's National Provider Identifier is 1972522209, issued on Jul 18, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.