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Individual

JOHN JAFARIAN

Active
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Individual

JOHN JAFARIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, PERIODONTIST

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
11173
TN
1223P0300X
Periodontics
Primary
11173
TN
1223P0300X
Periodontics
4646
AR

Other

Enumeration date
11/01/2019
Last updated
07/02/2025
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