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1104088806
SHIVA MOHTASHAM
SUNNYVALE, CA
NPI
1104088806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 51976)
Enumeration Date
2008-06-25
Last Update Date
2008-06-25
Business Address
Dr. SHIVA MOHTASHAM dds
1210 E ARQUES AVE STE 201
SUNNYVALE, CA 94085-5422
Phone number: 510-226-1614
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Mailing Address
Dr. SHIVA MOHTASHAM dds
1210 E ARQUES AVE STE 201
SUNNYVALE, CA 94085-5422
Phone number: 510-226-1614
Copy
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