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1295851905
AMIR HASSAN POURADIB
SANTA ROSA, CA
NPI
1295851905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 43389)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Dr. AMIR HASSAN POURADIB D.D.S.
2801 YULUPA AVE STE A
SANTA ROSA, CA 95405-9115
Phone number: 707-544-8338
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Mailing Address
Dr. AMIR HASSAN POURADIB D.D.S.
2801 YULUPA AVE STE A
SANTA ROSA, CA 95405-9115
Phone number: 707-544-8338
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