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Individual

DR. NIMA AFSARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11 ROSSANLEY DR, MEDFORD, OR 97501-1713
(541) 779-4799
Mailing address
11 ROSSANLEY DR, MEDFORD, OR 97501-1713
(541) 779-4799

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
63741
CA
1223G0001X
General Practice Dentistry
Primary
D10148
OR

Other

Enumeration date
08/06/2014
Last updated
10/08/2014
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