DR. Shiva Mohtasham, DDS

NPI #1104088806 in Sunnyvale, California

Provider Information

NPI Number: 1104088806
Entity Type: Individual
Name: DR. Shiva Mohtasham, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 25, 2008
Last Updated: Jun 25, 2008

Practice Location

Address: 1210 E ARQUES AVE STE 201
City: Sunnyvale
State: California
ZIP Code: 94085-5422
Phone: (510) 226-1614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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