Healthcare Provider Details

I. General information

NPI: 1700764230
Provider Name (Legal Business Name): SARKHOSH DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 OAK GROVE AVE STE 6
MENLO PARK CA
94025-4428
US

IV. Provider business mailing address

888 OAK GROVE AVE STE 6
MENLO PARK CA
94025-4428
US

V. Phone/Fax

Practice location:
  • Phone: 650-327-8081
  • Fax:
Mailing address:
  • Phone: 650-327-8081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TANYA ZAGHI
Title or Position: ASSOCIATE
Credential:
Phone: 650-327-8081