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Individual
DR. MONA FARZANEH-JOSEPH
Active
Individual
DR. MONA FARZANEH-JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6587
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020580260A
—
OK
05
—
20-0580260-A
—
OK
Enumeration date
01/19/2015
Last updated
06/11/2019
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