Individual
DR. FARNAZ FADAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9 SARACENO, NEWPORT COAST, CA 92657-1305
(949) 433-7995
Mailing address
9 SARACENO, NEWPORT COAST, CA 92657-1305
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
52805
CA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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