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1407209984
SHADI KADKHODA
ENCINO, CA
NPI
1407209984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 100342)
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
-- SHADI KADKHODA
17550 COLLINS ST
ENCINO, CA 91316-1243
Phone number: 323-557-8018
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Mailing Address
-- SHADI KADKHODA
17550 COLLINS ST
ENCINO, CA 91316-1243
Phone number: 323-557-8018
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