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Individual
HESHAAM M. FALLAH
Active
Individual
HESHAAM M. FALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
51335
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A106484
CA
Other
Enumeration date
03/22/2010
Last updated
02/11/2022
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