Dental Board of California
Licensing details for: 12
Name: TAHERI, SHAWN
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: TAHERI, SHAHRAM
Address of Record
704 Blossom Hill Rd, Suite 104
SAN JOSE CA 95123
SANTA CLARA county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: TAHERI, SHAWN
License/Registration Type: Dentist License
License Number: 43736 Primary Status: Current - Active
Address :
704 Blossom Hill Rd, Suite 104
SAN JOSE CA 95123
SANTA CLARA COUNTY
