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Organization
FAIR OAKS QUALITY DENTAL INC
Active
Organization
FAIR OAKS QUALITY DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAHID AFSHARI DDS (DENTIST)
(408) 761-6556
Entity
Organization
Contact information
Practice address
11622 FAIR OAKS BLVD STE 103, FAIR OAKS, CA 95628-3768
(408) 761-6556
Mailing address
11622 FAIR OAKS BLVD STE 103, FAIR OAKS, CA 95628-3768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55259
CA
Other
Enumeration date
04/15/2014
Last updated
04/21/2014
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