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Individual
POOYA SOLTANZADEH
Active
Individual
POOYA SOLTANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
102464
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/01/2016
Last updated
10/06/2021
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