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Organization
HOMEIRA FIROOZEH& MAHVASH EMAMISADR INC
Active
Organization
HOMEIRA FIROOZEH& MAHVASH EMAMISADR INC
Active
Other names
Lyons Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MAHVASH EMAMISADR DDS (OWNER)
(661) 255-1015
Entity
Organization
Contact information
Practice address
24036 LYONS AVE, NEWHALL, CA 91321
(661) 255-1015
(661) 255-2812
Mailing address
24036 LYONS AVE, NEWHALL, CA 91321
(661) 255-1015
(661) 255-2812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38049
CA
122300000X
Dentist
38679
CA
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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