Individual
FARNAZ HADAEGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14275 PIPELINE AVE, CHINO, CA 91710-5639
(508) 661-9358
Mailing address
14275 PIPELINE AVE, CHINO, CA 91710-5639
(508) 661-9358
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS108142
CA
Other
Enumeration date
11/13/2019
Last updated
08/22/2024
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