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1124421334
SHIVA MOHAZAB
MURRIETA, CA
NPI
1124421334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA DDS101426)
Enumeration Date
2014-10-01
Last Update Date
2018-05-15
Business Address
SHIVA MOHAZAB D.D.S
24634 MADISON AVE STE E
MURRIETA, CA 92562
Phone number: 951-600-1062
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Mailing Address
SHIVA MOHAZAB D.D.S
16011 BUTTERFIELD RANCH RD UNIT 235
CHINO HILLS, CA 91709-7456
Phone number: 310-597-1411
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