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1154497246
BEHNAZ KHODADAD
MORENO VALLEY, CA
NPI
1154497246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 54158)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
-- BEHNAZ KHODADAD DDS
12712 HEACOCK ST #4
MORENO VALLEY, CA 92553-3037
Phone number: 951-247-7400
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Mailing Address
-- BEHNAZ KHODADAD DDS
16185 LA FORTUNA LN
MORENO VALLEY, CA 92551-2027
Phone number: 951-243-6682
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