Healthcare Provider Details

I. General information

NPI: 1699601518
Provider Name (Legal Business Name): HALEH MERAT DDS A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6105 SNELL AVE STE 105
SAN JOSE CA
95123-4739
US

IV. Provider business mailing address

6105 SNELL AVE STE 105
SAN JOSE CA
95123-4739
US

V. Phone/Fax

Practice location:
  • Phone: 408-578-8010
  • Fax: 408-578-8653
Mailing address:
  • Phone: 408-578-8010
  • Fax: 408-578-8653

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: HALEH MERAT
Title or Position: OWNER/DR
Credential: DDS
Phone: 408-578-8010