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Individual

NARDEEN ANWAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13171 BALBOA AVE APT 1, GARDEN GROVE, CA 92840-4450
(714) 352-9262
Mailing address
13171 BALBOA AVE APT 1, GARDEN GROVE, CA 92840-4450

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31766
CA
Enumeration date
02/08/2018
Last updated
02/08/2018
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