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Organization
FARHAD MAZI, DDS, A PROFESSIONAL CORPORATION
Active
Organization
FARHAD MAZI, DDS, A PROFESSIONAL CORPORATION
Active
Other names
Apple Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD MAZI D.D.S. (PRESIDENT DENTIST)
(760) 242-7753
Entity
Organization
Contact information
Practice address
19190 US HIGHWAY 18, SUITE A, APPLE VALLEY, CA 92307-2558
(760) 242-7753
(760) 946-1122
Mailing address
19190 US HIGHWAY 18, SUITE A, APPLE VALLEY, CA 92307-2558
(760) 242-7753
(760) 946-1122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G89141-01
—
CA
05
—
G92354-01
—
CA
Enumeration date
03/08/2007
Last updated
07/01/2015
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