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Organization
KHOSHROOZEH DENTAL CORPORATION
Active
Organization
KHOSHROOZEH DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA KHOSHROOZEH (DOCTOR)
(650) 200-7530
Entity
Organization
Contact information
Practice address
845 E FOOTHILL BLVD APT H, MONROVIA, CA 91016-2477
(650) 200-7530
Mailing address
2711 SANTA ANA ST, SOUTH GATE, CA 90280-2021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62883
CA
Other
Enumeration date
06/07/2016
Last updated
10/22/2020
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