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Individual

DR. MARAL EMMA MOBASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1105 ATLANTIC AVE STE 101, ALAMEDA, CA 94501-1185
(510) 521-5437
Mailing address
1105 ATLANTIC AVE STE 101, ALAMEDA, CA 94501-1185
(510) 521-5437

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
101987
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101987
CALIFORNIA DENTAL LICENSE
CA
Enumeration date
04/01/2015
Last updated
12/27/2021
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