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1053831396
FOROUTAN DENTAL CORP
BUENA PARK, CA
NPI
1053831396
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Entity Type
Organization
Authorized Contact
MONICA CHAVEZ
Admin
949-644-9181
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2017-06-27
Last Update Date
2017-06-27
Business Address
FOROUTAN DENTAL CORP
8951 KNOTT AVE STE L
BUENA PARK, CA 90620-4108
Phone number: 714-826-4181
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Mailing Address
FOROUTAN DENTAL CORP
8951 KNOTT AVE STE L
BUENA PARK, CA 90620-4108
Phone number: 714-826-4181
Copy
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