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1164800025
MARYAM DERAKHSHANI
SAN DIEGO, CA
NPI
1164800025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 64410)
Enumeration Date
2015-05-12
Last Update Date
2015-05-12
Business Address
-- MARYAM DERAKHSHANI
10960 LA ALBERCA AVENUE
SAN DIEGO, CA 92127
Phone number: 416-272-2797
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Mailing Address
-- MARYAM DERAKHSHANI
10960 LA ALBERCA AVENUE
SAN DIEGO, CA 92127
Phone number: 416-272-2797
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