Organization
ALI AGAHI
Active
Parent organization
ALI AGAHI
Other names
Exeter Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALI AGAHI
Authorized official
DR. ALI AGAHI DDS (OWNER)
(559) 592-9017
Entity
Organization
Contact information
Practice address
136 N C ST, EXETER, CA 93221-1805
(559) 592-9017
Mailing address
136 N C ST, EXETER, CA 93221-1805
(559) 592-9017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B35587-01
—
CA
Enumeration date
05/07/2008
Last updated
05/07/2008
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