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1104552231
TAVAKOLIAN DDS, INC.
SAN MATEO, CA
NPI
1104552231
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Entity Type
Organization
Authorized Contact
PARDIS TAVAKOLIAN
President
240-750-9239
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-07-30
Last Update Date
2022-11-20
Business Address
TAVAKOLIAN DDS, INC.
2041 PIONEER CT STE 100
SAN MATEO, CA 94403-1729
Phone number: 240-750-9239
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Mailing Address
TAVAKOLIAN DDS, INC.
2041 PIONEER CT STE 100
SAN MATEO, CA 94403-1729
Phone number: 650-573-0628
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