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1467221531
M SHADI ANIS
SACRAMENTO, CA
NPI
1467221531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 109773)
Enumeration Date
2023-12-29
Last Update Date
2024-11-19
Business Address
M SHADI ANIS
2200 DEL PASO BLVD
SACRAMENTO, CA 95815-3102
Phone number: 612-407-6170
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Mailing Address
M SHADI ANIS
8564 MILSAP CT
ELK GROVE, CA 95624-1269
Phone number: 612-407-6170
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