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Organization
MAIN DENTAL CENTER
Active
Organization
MAIN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDALLAH AL-HARAZNEH D.D.S. (CEO)
(805) 925-9091
Entity
Organization
Contact information
Practice address
1038 W MAIN ST, SANTA MARIA, CA 93458-4238
(805) 925-9091
(805) 925-9022
Mailing address
1038 W MAIN ST, SANTA MARIA, CA 93458-4238
(805) 925-9091
(805) 925-9022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46725
CA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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