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NPI Code Detail

MEDICARE: MEHRNEGAR LOTFI DDS

MEDICARE:   MEHRNEGAR  LOTFI  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry54282CA

General Provider Information

NPI Number : 1487808473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEHRNEGAR LOTFI DDS
Provider Business Mailing Address
First Line : 4533 STEVENS CREEK BLVD
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-6856
Country : US
Telephone Number : 408-345-9191
Fax Number : 408-345-9199
Provider Business Practice Location Address
First Line : 4533 STEVENS CREEK BLVD
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-6856
Country : US
Telephone Number : 408-345-9191
Fax Number : 408-345-9199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2008
Last Update Date : 11/04/2008

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Directions to “ MEHRNEGAR LOTFI DDS” Practice Location

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