Individual
AFSANEH DAHITALEGHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2306 E 7TH ST, LONG BEACH, CA 90804
(562) 434-0740
Mailing address
2306 E 7TH ST, LONG BEACH, CA 90804-4325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104241
CA
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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