MORTAZAVI DENTAL CORP NPI 1275755811

NPI Information

MORTAZAVI DENTAL CORP is a general practice dentist in San Jose, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MORTAZAVI DENTAL CORP NPI is 1275755811. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4155 MOORPARK AVE. SUITE 10
SAN JOSE, CA
ZIP 95117
Phone: (408) 247-2828

The provider's authorized official is Parisa Mortazavi .
The authorized official title is President and has the following contact phone number (408) 410-5398.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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