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Individual

DR. ASAL KOHANDEL-SHIRAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
170 N RAYMOND AVE, FULLERTON, CA 92831-4610
(714) 870-2000
(888) 801-0908
Mailing address
170 N RAYMOND AVE, FULLERTON, CA 92831-4610
(714) 870-2000
(888) 801-0908

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56123
CA

Other

Enumeration date
01/03/2011
Last updated
01/03/2011
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