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1134316706
SHAHNAZ L FORMOLI
SACRAMENTO, CA
NPI
1134316706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 43149)
Enumeration Date
2007-09-27
Last Update Date
2007-09-27
Business Address
Dr. SHAHNAZ L FORMOLI DDS
4360 ARDEN WAY #3
SACRAMENTO, CA 95864-3153
Phone number: 916-485-4800
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Mailing Address
Dr. SHAHNAZ L FORMOLI DDS
4360 ARDEN WAY #3
SACRAMENTO, CA 95864-3153
Phone number: 916-485-4800
Copy
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