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1104193051
ADVANTA DENTAL GROUP
EMERYVILLE, CA
NPI
1104193051
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Entity Type
Organization
Authorized Contact
SEPIDEH RAZAVI
Dentist
510-596-9000
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 42496)
Enumeration Date
2011-11-21
Last Update Date
2011-11-21
Business Address
ADVANTA DENTAL GROUP
5915 HOLLIS ST STE A
EMERYVILLE, CA 94608-2066
Phone number: 510-596-9000
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Mailing Address
ADVANTA DENTAL GROUP
5915 HOLLIS ST STE A
EMERYVILLE, CA 94608-2066
Phone number: 510-596-9000
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