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1174916456
MISSION VALLEY DENTAL ARTS
SAN DIEGO, CA
NPI
1174916456
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Entity Type
Organization
Authorized Contact
ELMIRA KHODAPANAH
Doctor
619-574-1810
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 43989)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
MISSION VALLEY DENTAL ARTS
2333 CAMINO DEL RIO S STE 140
SAN DIEGO, CA 92108-3607
Phone number: 619-574-1810
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Mailing Address
MISSION VALLEY DENTAL ARTS
2333 CAMINO DEL RIO S STE 140
SAN DIEGO, CA 92108-3607
Phone number: 619-574-1810
Copy
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