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1295953925
MORTEZA KHATIBZADEH
SAN DIEGO, CA
NPI
1295953925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 55489)
Enumeration Date
2007-04-20
Last Update Date
2013-12-20
Business Address
Dr. MORTEZA KHATIBZADEH
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
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Mailing Address
Dr. MORTEZA KHATIBZADEH
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
Copy
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