# DR. AFSOON FAZELI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265815682
- **Gender:** F
- **Credential:** DDS, MSD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 106047 | CA | Yes |

## Other

- **Enumeration date:** 07/02/2015
- **Last updated:** 09/03/2024
