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1174541908
NAVID FARDANESH
SAN LUIS OBISPO, CA
NPI
1174541908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 44587)
Enumeration Date
2006-07-18
Last Update Date
2016-02-26
Business Address
Dr. NAVID FARDANESH D.D.S
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4534
Phone number: 805-781-5503
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Mailing Address
Dr. NAVID FARDANESH D.D.S
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4534
Phone number: 805-781-5503
Copy
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