Individual
MARYAM GHAHRAMANI SHAHNESHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1961 GROVE PL, ESCONDIDO, CA 92027-4101
(619) 655-7301
Mailing address
1961 GROVE PL, ESCONDIDO, CA 92027-4101
(619) 655-7301
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH30789
CA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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