Provider Demographics
NPI:1578734042
Name:FARIBA ALIKHANI DMD
Entity Type:Organization
Organization Name:FARIBA ALIKHANI DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:408-247-3400
Mailing Address - Street 1:PO BOX 1005
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95015-1005
Mailing Address - Country:US
Mailing Address - Phone:408-247-3400
Mailing Address - Fax:408-247-0188
Practice Address - Street 1:3575 STEVENS CREEK BLVD
Practice Address - Street 2:#L
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-1046
Practice Address - Country:US
Practice Address - Phone:408-247-3400
Practice Address - Fax:408-247-0188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA446461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty