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Organization
F. MOFTAKHAR DDS A PROFESSIONAL CORP.
Active
Organization
F. MOFTAKHAR DDS A PROFESSIONAL CORP.
Active
Other names
East Bay Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FARSHAD MOFTAKHAR DDS (OWNER / CEO)
(626) 246-0150
Entity
Organization
Contact information
Practice address
3040 E 9TH ST, OAKLAND, CA 94601-2938
(510) 534-0706
(510) 534-1082
Mailing address
1809 E ECKERMAN AVE, WEST COVINA, CA 91791-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/23/2007
Last updated
07/15/2008
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