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1083637425
MARYAM HAERI MAYBODI
LAGUNA NIGUEL, CA
NPI
1083637425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 49193)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- MARYAM HAERI MAYBODI D.D.S
30101 TOWN CENTER DR STE 205
LAGUNA NIGUEL, CA 92677-2065
Phone number: 949-295-0940
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Mailing Address
-- MARYAM HAERI MAYBODI D.D.S
30025 ALICIA PKWY # B231
LAGUNA NIGUEL, CA 92677-2090
Phone number: 949-295-0940
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