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Individual

NOOSHA DAFTARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
2825 EL CAMINO REAL, SANTA CLARA, CA 95051-2901
(408) 343-4167
Mailing address
437 VIA DE LA LUZ, THOUSAND OAKS, CA 91320-6929

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS108761
CA

Other

Enumeration date
12/11/2023
Last updated
12/11/2023
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