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1023842622
AWA ALIZADEH GHANNAD
VALLEJO, CA
NPI
1023842622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 110597)
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
Dr. AWA ALIZADEH GHANNAD DDS
914 ADMIRAL CALLAGHAN LN
VALLEJO, CA 94591-3680
Phone number: 707-674-5437
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Mailing Address
Dr. AWA ALIZADEH GHANNAD DDS
1401 MISSION ST APT 802
SAN FRANCISCO, CA 94103-2694
Phone number: 916-420-4530
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