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Organization
OKHOVAT DENTAL PRACTICE OF AUBURN
Active
Organization
OKHOVAT DENTAL PRACTICE OF AUBURN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK OKHOVAT (PRESIDENT)
(530) 823-2568
Entity
Organization
Contact information
Practice address
11990 HERITAGE OAK PL STE 12, AUBURN, CA 95603-2405
(530) 823-2568
Mailing address
11990 HERITAGE OAK PL STE 12, AUBURN, CA 95603-2405
(530) 823-2568
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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