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1063563765
ALI HEIDARI
SAN JOSE, CA
NPI
1063563765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 46264)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Mr. ALI HEIDARI D.D.S.
100 O'CONNOR DRIVE SUITE # 33
SAN JOSE, CA 95128-1647
Phone number: 408-287-5704
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Mailing Address
Mr. ALI HEIDARI D.D.S.
100 OCONNOR DR SUITE # 33
SAN JOSE, CA 95128-1647
Phone number: 408-287-5704
Copy
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