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Organization
MAHSA JABERIANSARI DDS INC
Active
Organization
MAHSA JABERIANSARI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHSA JABERIANSARI DDS (CEO)
(415) 730-7162
Entity
Organization
Contact information
Practice address
2089 VALE RD, SUITE 15 AND 16, SAN PABLO, CA 94806-3847
(415) 746-9412
Mailing address
1 KENNETH DR, MORAGA, CA 94556-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59856
CA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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