Provider Demographics
NPI:1467590208
Name:SALEHIEH, JAVID JAIME (DDS)
Entity Type:Individual
Prefix:MR
First Name:JAVID
Middle Name:JAIME
Last Name:SALEHIEH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:JAVID
Other - Middle Name:JAIME
Other - Last Name:SALEHIEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:10383 TORRE AVE
Mailing Address - Street 2:SUTIE I
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014
Mailing Address - Country:US
Mailing Address - Phone:408-257-3031
Mailing Address - Fax:408-257-5842
Practice Address - Street 1:10383 TORRE AVE
Practice Address - Street 2:SUTIE I
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014
Practice Address - Country:US
Practice Address - Phone:408-257-3031
Practice Address - Fax:408-257-5842
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40492122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist