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Organization
R & M DENTAL MANAGEMENT CO
Active
Organization
R & M DENTAL MANAGEMENT CO
Active
Other names
Big Bear Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAD MAZI D.D.S. (DENTIST)
(909) 866-1030
Entity
Organization
Contact information
Practice address
42169-C BIG BEAR BLVD., BIG BEAR LAKE, CA 92315
(909) 866-1030
(909) 866-9990
Mailing address
PO BOX 7069, BIG BEAR LAKE, CA 92315-7069
(909) 866-1030
(909) 866-1028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G92354-02
—
CA
Enumeration date
03/16/2007
Last updated
06/27/2008
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