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1023221850
SHABNAM DASTMALCHIAN
SAN FERNANDO, CA
NPI
1023221850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 38981)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- SHABNAM DASTMALCHIAN
326 N MACLAY AVE
SAN FERNANDO, CA 91340
Phone number: 818-898-9990
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Mailing Address
-- SHABNAM DASTMALCHIAN
326 N MACLAY AVE
SAN FERNANDO, CA 91340
Phone number: 818-898-9990
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