Provider Demographics
NPI:1417096603
Name:KARIMIAN, HALEH (DDS)
Entity Type:Individual
Prefix:DR
First Name:HALEH
Middle Name:
Last Name:KARIMIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 ALMADEN EXPY
Mailing Address - Street 2:SUITE 45
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118-3601
Mailing Address - Country:US
Mailing Address - Phone:408-266-4690
Mailing Address - Fax:
Practice Address - Street 1:5353 ALMADEN EXPY
Practice Address - Street 2:SUITE 45
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118-3601
Practice Address - Country:US
Practice Address - Phone:408-266-4690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA423381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice