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Individual
HOMA SHAHRIARI
Active
Individual
HOMA SHAHRIARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTIST
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4425802
MEDI-CAL PROVIDER NUMBER
CA
01
—
FHC70436F
MEDI-CAL NUMBER
CA
Enumeration date
04/17/2007
Last updated
05/24/2013
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