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Individual
DR. MARYAM GHORBANI
Active
Individual
DR. MARYAM GHORBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105212
CA
1223G0001X
General Practice Dentistry
Primary
2024026698
MO
Other
Enumeration date
08/09/2020
Last updated
12/13/2024
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