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Individual
DR. MASSOUD EFTEKHARI
Active
Individual
DR. MASSOUD EFTEKHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4954
AZ
1223G0001X
General Practice Dentistry
Primary
4954
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4954
DENTIST LICENSE
AZ
05
—
496932
—
AZ
Enumeration date
11/03/2008
Last updated
03/17/2018
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