Individual
MUSTAFA ADAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 JENNIFER ST, REDLANDS, CA 92373-4957
(909) 388-2427
Mailing address
107 JENNIFER ST, REDLANDS, CA 92373-4957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100193
CA
1223P0300X
Periodontics
Primary
100193
CA
Other
Enumeration date
05/27/2016
Last updated
04/10/2025
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