Organization
AZADEH AFZALI D.D.S, INC.
Active
Parent organization
AZADEH AFZALI D.D.S., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AZADEH AFZALI D.D.S., INC.
Authorized official
GOL MOHAMMADI (REGIONAL MANAGER)
(909) 881-3336
Entity
Organization
Contact information
Practice address
1918 BUSINESS CENTER DR STE 210, SAN BERNARDINO, CA 92408-3441
(909) 881-3336
Mailing address
1918 BUSINESS CENTER DR STE 210, SAN BERNARDINO, CA 92408-3441
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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