Provider Demographics
NPI:1891847596
Name:AKHBARI, CYRUS M I (DMD)
Entity Type:Individual
Prefix:DR
First Name:CYRUS
Middle Name:M
Last Name:AKHBARI
Suffix:I
Gender:M
Credentials:DMD
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Mailing Address - Street 1:1201 PARK AVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2919
Mailing Address - Country:US
Mailing Address - Phone:408-971-9990
Mailing Address - Fax:408-971-6628
Practice Address - Street 1:1201 PARK AVE
Practice Address - Street 2:SUITE#2
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2919
Practice Address - Country:US
Practice Address - Phone:408-971-9990
Practice Address - Fax:408-971-6628
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2013-06-12
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Provider Licenses
StateLicense IDTaxonomies
CA367241223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry