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Organization
SANAZ SHAHBANDI DDS A PROFESSIONAL CORPORATION
Active
Organization
SANAZ SHAHBANDI DDS A PROFESSIONAL CORPORATION
Active
Other names
ORANGE FAMILY DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANAZ SHAHBANDI DDS (CEO)
(630) 267-1515
Entity
Organization
Contact information
Practice address
845 W LA VETA AVE STE 109, ORANGE, CA 92868-3930
(714) 639-6410
Mailing address
6449 E SAINT GERMAIN CIR, ORANGE, CA 92869-4348
(630) 267-1515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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