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Organization
FARAMARZ R. BONIADI DDS INC
Active
Organization
FARAMARZ R. BONIADI DDS INC
Active
Other names
All Brite Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE ESTRADA (OFFICE MANAGER)
(951) 247-7400
Entity
Organization
Contact information
Practice address
12712 HEACOCK ST STE 4, MORENO VALLEY, CA 92553-3037
(951) 247-7400
(951) 247-6048
Mailing address
12712 HEACOCK ST STE 4, MORENO VALLEY, CA 92553-3037
(951) 247-7400
(951) 247-6048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B43278
CA
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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