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Individual

DR. DARYA G GHAFOURPOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
4340 REDWOOD HWY STE B52, SAN RAFAEL, CA 94903-2121
(415) 526-2020
Mailing address
4340 REDWOOD HWY STE B52, SAN RAFAEL, CA 94903-2121
(415) 526-2020

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43788
CA

Other

Enumeration date
10/16/2006
Last updated
12/01/2020
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