Shiva Mohtasham Dds, INC
NPI #1619349511 in San Ramon, California
Provider Information
- NPI Number
- 1619349511
- Entity Type
- Organization
- Organization Name
- Shiva Mohtasham Dds, INC
- Primary Specialty
- Dentist
- Enumeration Date
- Oct 30, 2015
- Last Updated
- Oct 30, 2015
Practice Location
- Address
- 1501 BOLLINGER CANYON RD STE F
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-1758
- Phone
- (510) 857-7544
Authorized Official
- Name
- DR. SHIVA MOHTASHAM, DDS
- Title
- OWNER
- Phone
- (510) 857-7544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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