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Individual

AMMAL M ELBEHESI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2120 AMARYLLIS CIR, SAN RAMON, CA 94582-5138
(650) 704-1113
Mailing address
2120 AMARYLLIS CIR, SAN RAMON, CA 94582-5138
(650) 704-1113

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110527
CA

Other

Enumeration date
08/09/2024
Last updated
08/23/2024
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