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Organization
HOOMAN FAKHRAI DMD, INC
Active
Organization
HOOMAN FAKHRAI DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOOMAN FAKHRAI DMD (PRESIDENT)
(619) 656-9222
Entity
Organization
Contact information
Practice address
754 MEDICAL CENTER CT STE 201, CHULA VISTA, CA 91911-6656
(619) 656-9222
Mailing address
3252 VIA ALICANTE, LA JOLLA, CA 92037-2742
(858) 336-1442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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