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1023401734
AFSANEH S DADSERESHT
LOS ANGELES, CA
NPI
1023401734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 18833)
Enumeration Date
2015-03-05
Last Update Date
2015-03-05
Business Address
-- AFSANEH S DADSERESHT
1115 S ELM DR APT 203
LOS ANGELES, CA 90035-1132
Phone number: 323-568-9593
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Mailing Address
-- AFSANEH S DADSERESHT
1115 S ELM DR APT 203
LOS ANGELES, CA 90035-1132
Phone number: 323-568-9593
Copy
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