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Provider Information for 1326215013

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ROUSHANAK EMAM DDS

Other Name:   ROSHAN EMAM
Gender: FEMALE

Individual NPI: 1326215013

Calendar   Last Updated:  2008-05-12
  Certification Date: 

Details

Name Value
NPI 1326215013
Enumeration Date 2008-05-12
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 703 WELCH ROAD #A1
PALO ALTO, CA 94304
United States

Phone: 650-321-0340 | Fax: 650-321-1879
View Map External Link
Primary Practice Address 703 WELCH ROAD #A1
PALO ALTO, CA 94304
United States

Phone: 650-321-0340 | Fax: 650-321-1879
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 39631