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Organization
F. MOFTAKHAR DDS A PROFESSIONAL CORP.
Active
Organization
F. MOFTAKHAR DDS A PROFESSIONAL CORP.
Active
Other names
BROOKVALE FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
FARSHAD MOFTAKHAR D.D.S. (OWNER / CEO)
(626) 246-0150
Entity
Organization
Contact information
Practice address
39236 ARGONAUT WAY, FREMONT, CA 94538-1306
(510) 739-0701
Mailing address
39236 ARGONAUT WAY, FREMONT, CA 94538-1306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38565
CA
Other
Enumeration date
03/23/2007
Last updated
07/15/2008
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