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Organization
FAYE HAKIMI DENTAL
Active
Organization
FAYE HAKIMI DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GROFF DDS (ASSOCIATE)
(415) 479-4640
Entity
Organization
Contact information
Practice address
920 NORTHGATE DR, SAN RAFAEL, CA 94903-3429
(415) 479-4640
Mailing address
920 NORTHGATE BLVD, SAN RAFAEL, CA 94903
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
51930
CA
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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