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Organization
FARDAD BORHANI DMD INC
Active
Organization
FARDAD BORHANI DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDAD BORHANI DMD (PRESIDENT)
(909) 792-8079
Entity
Organization
Contact information
Practice address
1690 BARTON RD, SUITE 100, REDLANDS, CA 92373-7761
(909) 557-4652
Mailing address
1690 BARTON RD, SUITE 100, REDLANDS, CA 92373-7761
(909) 557-4652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54068
CA
Other
Enumeration date
05/01/2007
Last updated
08/25/2008
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