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Organization

NADER AFSHARI DDS & SOHEIL AMIROAZZAMI DDS A PROFESSIONAL DENTAL CORP

Active
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Organization

NADER AFSHARI DDS & SOHEIL AMIROAZZAMI DDS A PROFESSIONAL DENTAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SOHEIL AMIRMOAZZAMI D.D.S. (OWNER)
(760) 242-3626
Entity
Organization

Contact information

Practice address
16127 KASOTA RD, SUITE 101, APPLE VALLEY, CA 92307-2204
(760) 242-3626
(760) 242-5609
Mailing address
16127 KASOTA RD, SUITE 101, APPLE VALLEY, CA 92307-2204
(760) 242-3626
(760) 242-5609

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45082
CA

Other

Enumeration date
07/24/2008
Last updated
07/24/2008
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